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Coaching Course Site Request


THREE WEEK MINIMUM NOTICE TO REQUEST COURSE

**You may now fill in this form for three courses, however you MUST fill in the approrpiate date fields to go along with the course


1st Choice Date:(G course):
2nd Choice Date:(G course):
Course Time:
1st Choice Date:(F course):
2nd Choice Date:(F course):
Course Time (please allow 1 hour lunch break for all day courses):
1st Choice Date (E Course):
2nd Choice Date (E Course):
Course Time (please allow 1 hour lunch break for all day courses):
Facility Location and equipment for course:
1. An individual must be available during the time of the course in case of emergencies.
2. A classroom or theater for lectures. Must have a chalkboard of whiteboard.
3. A full size gym. This is MANDATORY, year round in case of rain.
4. Accessibility to women's and men's bathrooms.
5. In warm weather months, a field.
Name: required
Affiliated Organization: required
Address (NO PO Boxes, course materials will be shipped to this address): required
Telephone: required ( ) -
E Mail: required
Directions for Course: required
You are responsible for signing up course attendees, ensuring that attendees are from fully affiliated clubs, will collect the money for the courses. It is also necessary to have someone at the course at all times in case of emergencies. When all the information on this form is completed, send it to the Mass Youth Soccer office and you will then receive a confirmation of the course.
E-Mail Address: required
First Name: required
Last Name: required



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