Youth Basketball Coaches Registration Form (2024)

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* Required Fields

*Name

*Address

*City

*Zip

*Home Phone

Don't type in this field

*Cell Phone

*Email

*Ok to publish email in handouts to participants?

*Child/Chilren's name(s)

*Grade you would like to coach

*Coached at the Community House before?

Would like to coach with (max two coaches/team)

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