Coaches Registration Form
Please fill in all the information below to be a Salvation Army Football Coach. Those submitting to be a referee/official for the 2013 season need only to answer the required information.
Home Phone Number
Cell Phone Number
Work Phone Number
Date of Birth
Place of Birth
With what community are you wanting to coach/referee?
Grade you are wanting to coach
If you coached a team last season, please list the team you coached below.
I am applying to be a(n):
As a head coach, who do you chose as your one assistant coach?
Each head coach is allowed ONE assistant whose player will be undraftable.
As an assistant, what head coach are you planning to assist?
Leave blank if you have no preference.
Have you played football?
If yes, what level?
Please list all youth programs you have been active in:
By submitting this form, I acknowledge that if I am accepted as a coach/referee in the Salvation Army Football Program. As a coach, I will attend a NYSCA certification program clinic, the Directors coaches meeting, and I further agree all SAF rules, ideals and guidelines. I promise to support all SAF activities related to the football program. As a coach or referee, I also understand I will have to submit a KBI background check and complete required Salvation Army volunteer forms.
I agree with and understand the statement above.
Never submit passwords through Google Forms.
Terms of Service