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Name and Address:
Cellphone #:
email address
Son or Daughters Name and Level if they are playing:
Level or Team you wish to coach:
NCCP #:Certification or Training completed:
Coaching Background including other sports:
Are you interested in a Head Coach or Asst. Coach Position:
Please identify one coach you wish to work with next season? Name and Contact Info:
Who do you want your manager to be? Name and Contact Info:
Did you play lacrosse?
If so, how many years and levels:
References/Contact Information: 2 Please
Coaching Apparel Shirt Size:
Coaching Apparel Hat Size:
RDLA will try to do our best to fit all your requests although they may or may not be possible depending in varying circumstances.
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