Skating Coach & Asst Coach Application
Join us in providing ALL Metro Chicago youth the opportunity to experience the thrill of participating in ice sports in a fun, safe, positive and inclusive environment regardless of race, color, religion, national origin, gender and socio-economic status.
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Email *
First Name *
Last Name *
Gender *
Date of Birth *
Marital Status *
Street Address *
Apt, Suite, Building Number
City *
State (example: IL) *
Postal/Zip Code (5 digit) *
Phone Number (format: 312-555-5555) *
Please list your handle/username for your social media accounts such as Facebook, Instagram, twitter, LinkedIn, TikTok, YouTube, etc. *
Please give us information on who you'd like us to contact in case of an emergency.
Emergency Contact Name (First and Last) *
Emergency Contact Phone number (format: 312-555-5555) *
Emergency Contact relation to you *
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