SR: Upward Coaches Application

Please complete this application to be a coach with our Upward Program.

*Address Line 1
Address Line 2
*Zip/Postal Code
Work Phone:
Home Phone:
Cell Phone:
*Home church (if none, so state):
*Shirt Size:
*Date of Birth:

Please choose position

Upward Division I prefer to coach (check all that apply)

Practice Availability

Please list any of your children playing Upward that you would like to coach:
List Name - Gender - Age/Grade
*Please list any other youth programs where you have either coached or refereed:
*I can attend the Coaches Meeting on February 5, at 6:30PM:

I will serve as a coach for the entirety of the season unless I am prevented from doing so by family emergency or personal injury.  I understand that I need to be setting a Christ-like example for the children to follow. I acknowledge that not keeping this commitment may cause the Leadership Team to reevaluate me as an Upward coach.  I also give Central Christian Church permission to do a personal background check on me.
*Typing your name below provides documentation of agreement with the above commitments and will be considered as your official  signature.