Christ Church, Fort Lauderdale
Sunday, April 30, 2017

Basketball Coach/Referee Application

SECTION 1
 
Date
 
First name    Last name 
 
Gender:  male  female
 
Home address   
 
City    State    Zip 
 
Home phone    Cell
 
Email    
 
Where do you attend church?
 
SECTION 2
 
 1. Check the position you are applying for:
Head Coach      Assistant Coach      Referee  
 
 2. Check which league, practice time and day you prefer:
 
  Kindergarten (Co-Ed)  T   W  Th   at  5:30pm or 6:30pm
 
  1st - 3rd Girls  T   W  Th   at  5:30pm or 6:30pm
 
  1st - 2nd Boys  T   W   Th  at  5:30pm or 6:30pm
 
   3rd - 4th Boys  T   W   Th  at  6:30pm or  7:30pm
 
  4th - 6th Girls  T   W   Th  at  6:30pm or  7:30pm
 
  5th - 6th Boys  T   W   Th  at  7:30pm only
 
 
 3. Yes, I will help at evaluations. Tuesday, December 1 (6-7:30pm) or Wednesday, December 2 (6-7:30pm)
 
 4. What is your shirt size?  MEN Small  Medium  Large   XL   XXL   XXXL
                                      WOMEN Small   Medium   Large   XL   XXL
 
 5. Have you ever coached an Upward Sport?  Yes     No
 
 6. Have you ever refereed, an Upward Sport?  Yes   No
 
 7. Have you made a personal commitment to Jesus Christ?  Yes   No
            Please share a little about your relationship with Jesus
                         
 
 8. Do you have an assistant coach in mind? 
     Name    Phone # 
 
9. Yes, I will be at the Coaches Training on December 9, 2015.
 
I understand that any negative personal habits that I have (smoking, alcohol, profanity, etc.) may have a negative affect on a child's spiritual development.  Understanding that the children on my team have been placed under my guidance, I commit to setting a worthy behavioral example for them to look to.
  Name        Date