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Coaching Registration Form
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ARE YOU APPLYING FOR THE 2026 CALENDAR SEASON:
Yes
No
SECTION 1 — PERSONAL INFORMATION
FULL LEGAL NAME:
Preferred Name (if different):
DATE OF BIRTH:
GENDER
Male
Female
Other
Social Security Number (Last 4 Digits Only):
SECTION 2 — CONTACT INFORMATION
Home Address
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone Number
Email Address
*
SECTION 3 — SPORTS & COACHING INFORMATION
SCHOOL NAME:
SCHOOL ADDRESS:
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
ATHLETICS DIRECTORS NAME:
*
First
Last
ATHLETIC DIRECTORS EMAIL:
*
COACHING POSITION
COACHING ROLE
Head Coach
Assistant Coach
Volunteer Coach
Strength & Conditioning Coach
Skills Trainer
Stats Keeper
SPORTS YOU WISH TO COACH
FOOTBALL
BASKETBALL
BASEBALL
SOFTBALL
SOCCER
VOLLEYBALL
TRACK
FLAG FOOTBALL
TENNIS
CHEERLEADING
SWIMMING
LEVEL OF COACHING (Click all that apply):
Youth
Middle School
Junior Varsity
Varsity
College
Other
COACHING EXPERIENCE:
New Official
1-2 Years
3-5 Years
6-10 Years
10+ Years
PREVIOUS SCHOOLS / ORGANIZATIONS COACHED (Please list all or type N/A))
COACHING CERTIFICATIONS (List all the Apply)
OTHER CERTIFICATIONS HELD:
NFHS Certified
State Association Certified
CPR Certified
First Aid Certified
Concussion Training Completed
SafeSport Certified
Other
SECTION 5 - EMERGENCY CONTACT
Emergency Contact Name:
RELATIONSHIP:
PHONE NUMBER:
SECTION 6 - BACKGROUND INFORMATION
Have you ever been suspended or removed from officiating duties? (If so please explain):
Have you ever been convicted of a felony? (If so Please Explain):
HAVE YOU EVER BEEN CONVICTED FOR CRIMES AGAINST CHILDREN?:
Yes
No
PLEASE UPLOAD YOUR GOVERNMENT ID:
Click or drag a file to this area to upload.
SECTION 7 - DOCUMENTS REQUIRED
WHICH OF THESE DOCUMENTS CAN BE ATTACHED (All may be required):
Government Issued ID
Certification Documents
Background Check Authorization
CPR / First Aid Certifications
SafeSport Certificate
W-9 Form
Passport Style Photo
HELD: OF THE
SECTION 8 - AGREEMENTS & ACKNOWLEDGEMENTS
PLEASE CHECK EACH ITEM:
I certify that the information provided is true and accurate.
I agree to comply with all NFMSS rules, regulations, and codes of conduct.
I understand that officiating assignments are subject to availability and approval.
I consent to background verification procedures if required.
I agree to maintain professional conduct at all events.
Signature
Clear Signature
Date / Time
Date
Time
Stripe Credit Card
*
Name
*
First
Last
Submit