Region 85 - EXTRA Head Coach Application
EXTRA Program Head Coach Applications are now being accepted.

Questions??? Please contact our Secondary Programs Staff (secondarystaff@ayso85.org)


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EXTRA Coach Information
Name (First & Last) *
Email *
Contact Phone Number *
Division *
Age Group to Coach (2022 Fall Season - Birth year) *
I was listed as either a HEAD Coach or ASSISTANT Coach during the following season(s). *
Required
Certification/Training
Age appropriate Coach Certification/Training is required for ALL Coaches and Assistant Coaches.
* 10U Coach and Assistant Coach must have 10U Coach Certification
* 12U Coach and Assistant Coach must have 12U Coach Certification
* 14U Coach and Assistant Coach must have Intermediate Coach Certification
* 16U & 19U Coach/Assistant Coach must have Advanced Coach Certification

Coaches and Assistant Coaches:
Must register each season as a volunteer in the AYSO/Sports Connect Registration system.
Must complete the Regional Referee Training
Are required to maintain current AYSO Sudden Cardiac Arrest Certification, Safe Haven Certification and CDC Concussion Awareness Training.

Training and Certification courses can be found online at My Training on your volunteer page.
I have completed and hold the following AYSO COACH Certification(s) *
Required
I have completed and hold the following AYSO REFEREE Certification(s) *
Required
Additional information you would like us to know.
Reference #1
Name *
Email *
Phone Number *
Reference #2
Name *
Email *
Phone Number *
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