Coach / Referee – Lloydminster Minor Football Association

Coaching / Refereeing Form

Personal Information

First Name

Last Name

Cell Phone *

Home Phone *

DOB *

Email Address *

Street Address *

City *

Province *

I would like to be considered a coach for:Red DogsJr Red DogsSteelersColts

Preferred Coaching PositionHead coachAssistant Coach

Experience

Previous Coaching / Refereeing Experience

Organization

Position

Year

Organization

Position

Year

Coaching / Refereeing Clinics

Have you ever completed a football officiating course or attended a coaching Clinic? If so, where and when?

Classes Attended

Other relevant Information

Describe your philosophy about youth sports and how you can assist the LMFA

References

Name

Phone

Name

Phone

Signature *

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By signing this form, you are stating everything to be true. Please note that not everyone will be called back for a position as there are limited positions and needs. The LMFA reserves the right to accept or reject any coaching or officiating Application. The Board must approve all head coach positions. All head coaches reserve the right to select their assistants. All coaching selections require approval from the LMFA Executive. Thank you for your interest.

REGISTRATION

Coaching / Refereeing Form

Personal Information

Experience

Previous Coaching / Refereeing Experience

References