Name
Phone Number
What is your coaching experience? Junior, Senior, NLL, International, Pro, NCAA, College Club, or Club/Team Name, list it! (Please list box first, and field second)
Why do you want to coach for Team Éire?
Have you played or coached for Team Éire/Ireland in any past event? Please explain or simply state N/A if new to the organization.
Please list any questions/concerns/emotional outbursts
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