2022 Coach Registration preschool-2nd grade basketball.

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Coaches determine practice schedule. Schedule subject to change.
Preschool-Kindergarten basketball games and practices will be in Sunday afternoons in West Branch.
1st/2nd flag basketball games and practices will be Sunday afternoons in West Branch.

By completing this agreement, I the participant, parent, and/or guardian under-stand that participation in this activity may result in some type of injury and protective equipment does not prevent all injuries to participants. I hereby give permission for my child, ward, or myself to participate in the below registered program and/or activity and certify that my child (or myself) is physically fit to join in the activities. I hereby waive, release, and agree not to hold the City of West Branch Parks and Recreation Department, West Branch Community School District, sponsors, supervisors, and volunteers liable for any injuries that may occur because of participation in these activities. I also give my permission for any photos/videos, etc. of these participants taken during a program to be used for future departmental promotional materials.
Please take note and govern yourself accordingly.
THE WEST BRANCH PARKS AND RECREATION DEPARTMENT AND THE CITY WEST BRANCH HAVE NO ACCIDENT INSURANCE TO PROTECT THE PARTICIPANTS

Email *

Adult Coaches Name *

Phone Number *

Address *

I would like to coach the following division. There needs to be at least 2 coaches per team. Please check all that apply. *

Preschool-Kindergarten Basketball-I will be able to be there every week.

1st/2nd Grade Basketball-I will be able to be there every week.

I would like to help coach Preschool-Kindergarten but I won't be able to make every practice or game

I would like to help coach 1st/2nd grade but I won't be able to make every practice or game

I am available to help with set up and/or take down.

Other:

Required

I would be willing to help with set up and take down of the hoops sometimes(they are heavy and awkward) *

Yes

Maybe

I can attend a coaches meeting on Wednesday November 3rd at Town Hall around 5:30pm. *

Yes

Maybe

Please describe an relevant experience. *

I have coached a youth team before. *

Yes

Other

Other comments

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of City of West Branch, IA. Report Abuse

Forms