COACH REQUEST FORM

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Web Space Kindly Provided By Red River Communications

http://www.rraz.net/

Lake Havasu 928/505-2999

Kingman 928/718-1817

COACH REQUEST FORM

Name_______________________________Telephone__________________________

Address________________________________________________________________

Street Address City State Zip

Prior coaching experience: ____Recreational ____Competitive _____Age Group

Name of prior Soccer League______________________________________________

List Name of your children who will be playing in LHSL:

1._________________________ 3._________________________

2._________________________ 4._________________________

Do you have a license? ______YES _____NO If yes what level? ____________

If selected what level do you wish to coach? ___________________________________

List two references we may contact:

Name_______________________________Telephone__________________________

In order to be considered for a coaching position in the LHSL you must read and sign the League Commitment rules that are on the reverse side of this application.