Name *

First Name

Last Name

Phone *

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Interested in: *

Coaching -- Babies and Toddlers

Coaching -- Preschoolers

Coaching -- School Age Recreational

Birthday Parties

Half Day Summer Camp

Background Check *

I understand that all staff and volunteers who have regular contact and/or authority over any minor must complete and pass a NCSI (National Center for Safety Initiatives) Complete background check. Coaches under the age of 18 are not background checked.