Full Legal Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Gender *

Female

Male

Mobile Phone (text-capable) *

(###)

###

####

Other Phone number

(###)

###

####

Diocese of Arlington Virtus Certified: *

Yes

No

If NOT Virtus Certified, do you agree to take the Virtus class within 60 days?

Yes

No

Are you willing to submit to a background check ? *

Yes

No

Are you willing to attend first aid training arranged for by St. John's Athletics? *

Yes

No

CPR Training? *

Yes, I'm certified

Yes, but not currently certified

No

I am interested in volunteering as a: *

Head Coach

Assistant Coach

Whatever is needed

Are you willing to promote and enforce the St. John's Athletics Player/Coach/Parent Handbook? *

Yes

No

Are you willing to take direction from the Athletic Director? *

Yes

No

Are you willing to use SJA's Calendar & Messaging system to communicate with players?

Yes

No

What sport are you volunteering to coach? *

Soccer

Basketball

Volleyball

What Gender are you volunteering to coach? *

Boys

Girls

What level are you volunteering to coach? *

Varsity

Junior Varsity

Middle School

Pre-middle school developmental (no games)