Western Carolina University

Sport Club

Instructor/Coach Information Sheet

 

 

Name: __________________________            Phone #: ________________________

Email:            __________________________          Sport Club: ______________________

 

Skill Level/Playing Experience:

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Instructor/Coaching Certificates or Level:

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Affiliations or Memberships in related area:

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Any other related experience/certifications (current CPR/1^st Aid, etc.)

_______________________________________________________________

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Any other background or personal experience/accomplishments:

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