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Junior Coaching Program
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Full Name
Your answer
Date of Birth
MM
/
DD
/
YYYY
Home or Parent Phone number
Your answer
Parent email
Your answer
Personal Email
Your answer
Personal Cell Phone (if applicable)
Your answer
Years played
Your answer
I understand I will be the coach with a peer, and will be in charge of running activities based on the FSJSC handbook you will be given
Yes
No
Clear selection
I understand I must follow the handbook
Yes
No
Have you played on the Northern Striker's team or equivalent if from another city/province
Yes
No
Clear selection
Why would you like to be a junior coach?
Your answer
What is your favourite soccer based activity that is not regulated match play
Your answer
What is your availability, days and times? ex Wednesday 4 pm - 8 pm
Your answer
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