Coaches

Name (required)

Address (required)

City

Postal Code

E-mail Address (required)

Home Phone

Cell Phone

Coaching Certification - NCCP Level (Check the one that applies)

None/UnsureDevelopment Coach Level 1 TrainedDevelopment Coach Level 1 CompleteAdvanced Development Coach Level 2 TrainedAdvanced Development Coach Level 2 CompletePerformance Coach Level 3 TrainedPerformance Coach Level 3 Complete

Coaching Preference

Girls 13u 14u 15u 16u 17u 18u

First choice

Second choice

Level (circle)

[radio* levelGirls use_label_element default:1 "1. Rapids Summit" "2. Rapids Rival (B & C)" "3. Rapids Evolve (C & D)" "4. Will coach where needed" "5. Will only coach on my child’s team"]

Boys 13u 14u 15u 16u 17u 18u

First choice

Second choice

Level (circle)

[radio* levelBoys use_label_element default:1 "1. Rapids Summit" "2. Rapids Rival (B)" "3. Will coach where needed" "4. Will only coach on my child’s team"]

Children Participating in the Rapids

Child 1

Child’s Name

Previous Team

Date of Birth

Child 2

Child’s Name

Previous Team

Date of Birth

Coaching Experience

Experience 1

Organization

Team

Position

From

Experience 2

Organization

Team

Position

From

Playing Experience

Experience 1

Organization

Team

Position

From

Experience 2

Organization

Team

Position

From

Coaching Affirmation

(a parent on your team to relay this past season’s experience)

Name

Phone

Coaching Reference

(if not previously with the Rapids)

Name

Phone

Niagara Rapids Coaching Application Form

Coach’s Information

Coaching Certification - NCCP Level (Check the one that applies)

Coaching Preference

Girls 13u 14u 15u 16u 17u 18u

Level (circle)

Boys 13u 14u 15u 16u 17u 18u

Level (circle)

Children Participating in the Rapids

Child 1

Child 2

Coaching Experience

Experience 1

Experience 2

Playing Experience

Experience 1

Experience 2

Coaching Affirmation

Coaching Reference