2022 Application & Agreement
Thank you for your interest in coaching volleyball at Christ King!
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Email *
Last Name *
First Name *
Birthdate - enter as 00/00/0000 *
Street Address *
City, State, Zip *
Cell Phone (w / area code) *
Home Phone (w / area code) - if applicable
Work Phone  (w / area code) - if applicable
If you are certified as a coach or referee in any sport, enter which and when, otherwise enter "none" *
If you have undertaken a "coaching" seminar or course, enter where and when, otherwise enter "none" *
Are you First-Aid/CPR/AED certified? *
Required
Wisconsin Driver's License # or "none" if not applicable
If you have incurred any traffic citations in the last year, enter what and when, otherwise enter "none" *
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