Coaching Course Site Request

1st Choice Date:(G course) 10 coach minimum:
2nd Choice Date:(G course):
Course Time:
1st Choice Date:(F course) 12 coach minimum:
2nd Choice Date:(F course):
Course Time (please allow 1 hour lunch break for all day courses):
1st Choice Date (E Course) 16 coach minimum:
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. Minimum dimensions of gym space required is 18 yds by 25 yds for the G course and 28 x 35 yds for the F and E courses 4. Accessibility to women's and men's bathrooms. 5. In warm weather months, a field.
Dimensions of gym/facility space ***THIS INFO IS REQUIRED:
Name:
Affiliated Organization:
Mailing Address (NO PO Boxes, course materials will be shipped to this address):
Telephone:		( ) -
E Mail:
Address & Directions for course location:
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:
First Name:
Last Name: