Shades Mountain Community Church - Straight Street All Stars Coaches / Referee Application 2019-2020

Straight Street All Stars Coaches / Referee Application 2019-2020

Name:	*
Mailing Address:	*
City:	*
State:	*
Zip:	*
Phone (day):	*
Phone (evening):	*
Your Email Address	*
Are you a member of a local church?	*
If so, where?
Gender:	*
Date of Birth:	*
Which level would you prefer to coach?
Which level would you prefer to referee?
What is your preferred practice day?	*
What is your preferred practice time?	*
What is your shirt size?	*
Do you have any children playing in Straight Street All Stars?	*
Do you plan on coaching your child?
Child's Name
Child's Grade
Child's Gender
Have you ever coached basketball before?	*
Have you ever refereed basketball before?	*
Have you made a personal commitment to Jesus Christ?	*
Please share a little of your walk with Christ. *
I understand that I am a representative of Christ both to my players and those that are around me.
I understand that children have been entrusted to me and put on my team and are under my guidance.
With that in mind, I understand my actions can hinder their walk with Christ.
Therefore, I will commit to setting a worthy example to those that are around me and do my best to reflect Christ in my life.
Electronic Signature	*
Date of Electronic Signature	*