2017 tournament coach application - Quartz Hill AYSO

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2017 TOURNAMENT COACH APPLICATION QUARTZ HILL AYSO REGION 638 CONTACT INFORMATION: (Please print clearly) Name: Phone No.: Cell No.: Email: COACHING INFORMATION: (Please print clearly) Coach Certification Level: Referee Certification Level: Division(s) and Gender of teams you are coaching this season:

Division / Gender of Team(s) Applying for: (Only 1 team will be given to any one coach. List teams applying for in order of your desire to coach).

Tournament Coach Experience (Years):

All-Star Coach Experience (Years): Referee Coach Experience (Years): I want to coach a tournament team because:

I am most qualified to coach this tournament team because:

I understand that if I am selected to coach during the 2017/2018 tournament season with Quartz Hill AYSO that I SHALL be required to have a representative from my team participate on the 2017/2018 Quartz Hill Shootout Tournament Board. I understand that I will be responsible for the representative from my team to fulfill their obligation to the board. I further understand that I will have a qualified referee team represent my team at tournaments, including the Quartz Hill Shootout. I also understand that by being a tournament coach I act as an ambassador for my region and am expected to conduct myself accordingly. Any coaches unwilling or unable to ensure these commitments may be subject to disqualification and/or removal as a tournament coach. Coaches are reminded that while participating in a tournament they represent Quartz Hill AYSO and as such shall adhere to good sportsmanship at all times.

Signature

Please Print Name

Please complete this form, sign the form, and return it in a sealed envelope to the folder designated “Coach Administrator” located near the snack bar at Joe Walker no later than Saturday, September 16, 2017. Only signed and complete forms will be considered.