COACH REGISTRATION FORM

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Coach Name

First

Last

Layout

Phone number

Please enter a valid phone number.

example@example.com

Address

Address Line 1

Address Line 2

City

State

Zip Code

AAU Membership Number

Note: obtain at aausports.org if applicable

Years of Coaching Experience

Prior Teams/Programs Coached

Coaching Certifications

e.g., USA Basketball, NFHS

Preferred Age Group to Coach

Disclaimer & Signature

How Did You Hear About Us?