First and Last Name *

    Cell Phone Number *

    Email *

    Home Address *

    Youth Athlete's Name *

    What would you like to volunteer to do? *

    First Choice Team Name *

    Second Choice Team Name *

    Rooted in Faith Academy will perform a background check before I am approved to coach. *

    I have read the Concussion Policy and agree to follow the policy. *

    Coach Shirt Size *