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East Brunswick Recreation: Youth Track and Field Coach Interest Form
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Full Name
*
Your answer
Email Address
*
Your answer
Phone Number
*
Your answer
Are you over the age of 18? If not please provide DOB.
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Yes
No
Date of Birth
MM
/
DD
/
YYYY
Are you available for all of the sessions? (This program runs from 10/2-11/20 on Sundays from 8:30 am - 12:00 pm. You must be available for ALL sessions in order to be considered as a coach.)
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Yes
No - Explain below in other please.
Other:
Why are you interested in coaching?
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Your answer
Do you have experience working with children? Explain.
Your answer
Any additional information we should be aware of:
Your answer
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