2021 Select Program Coach Interest Form
Thank you for your interest in coaching in the Walnut Creek Surf Soccer Club's Select program. Please complete the following form in order to be considered.
Email address *
First Name *
Last Name *
Phone Number *
Past Coaching Experience *
Required
What is your total number of years of coaching experience? *
Please describe your existing coaching licenses or certifications including when you received them. *
Please provide any additional information about your coaching background or motivation for coaching that you would like us to know.
Which Select Program seasons are you interested in volunteering to coach? *
Required
Which Coaching roles are you interested in? *
Required
Which divisions would you be willing to coach? *
Required
Is your coaching contingent on your child being placed on the team you are assigned? *
If your child or children are trying out for Select, please provide their first and last name(s).
If your child or children are trying out for Select, please provide their birth year(s) and gender(s).
Do you have any additional comments or questions?
A copy of your responses will be emailed to the address you provided.
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