Jackson County Rec Volunteer Coaching
This form is for you to fill out if you would like to coach this season.  Please fill it out and submit it.  We will be in touch after registration closes.    If you have not completed a background check in the last 18 months please obtain one through  the Jackson County Sheriff's Office and email it to, or drop it off at our office.  
Thank you!

JCPR Staff
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Email *
Name: *
Cell Phone Number: *
Address: *
Coach Date of Birth: *
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Coach Shirt Size: *
Which age group, gender, sport would you like to Assistant Coach (Ex: 8u Boys Soccer, 12u Girls Volleyball, etc)?  If you have multiple children and would like to coach multiple teams, please list all that you would like to coach.  If you do coach two teams we will try to ensure that your games will not be scheduled at the same time.    
Which age group, gender, sport would you like to Head Coach (Ex: 8u Boys Soccer, 12u Girls Volleyball, etc)  ?  If you have multiple children and would like to coach multiple teams, please list all that you would like to coach.  If you do coach two teams we will try to ensure that your games will not be scheduled at the same time.    
Which division are you participating in?  *
Required
If there is someone you would like to coach with, please list them below.  
Your Child's/Children's name(s): *
Are you a new coach or a returning coach? *
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