Coaches Registration Page

• Coaches Contact Information

  Please fill this section out entirely for our records.

• Coaches First and Last Name*
  First
  
  Last
  
• Address*
  Street Address
  
  City
  
  State
  AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific
  ZIP Code
  
  
• Date of Birth*Please provide Date of Birth
  
  MM slash DD slash YYYY
  
• Coaching years with Surf*How Many Years have you coached with Surf/PSA?Please enter a number from 1 to 2.
• Coaches Email Address*This information will be used to send communications so please enter the best contact email address.
  
• Coaches Cell Phone:*
• Teams you are coaching.*Please list all Teams you are coaching for the 2021-2022 Season. (for example: G2001) If you are coaching more than one team add additional lines by choosing the + sign.
  

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• Coaches Gear Sizing

  You will receive a Soccer.com gift card to order Coaches Gear. Practice Ts are ordered in bulk and we need your sizing to order yours.
  Sometimes we receive promos and want to have your sizing available. Please enter your sizes for the following items.

• Practice Tshirt (2)*Shirts are 50/50 ordered by the office. Size correctly. Adult SmallAdult MediumAdult LargeAdult XLargeAdult XXLargeAdult XXXLarge
• Men's Nike Polo*Adult SmallAdult MediumAdult LargeAdult XLargeAdult XXLargeAdult XXXLarge
• Nike Short*Adult SmallAdult MediumAdult LargeAdult XLargeAdult XXLarge
• Nike Warm up Sweat Jacket*Adult SmallAdult MediumAdult LargeAdult XLargeAdult XXLargeAdult XXXLarge
• Nike Warm up Pant*Adult SmallAdult MediumAdult LargeAdult XLargeAdult XXLarge
• Nike Training Shirt*Adult SmallAdult MediumAdult LargeAdult XLargeAdult XXLargeAdult XXXLarge

• Upload Coaches Forms

  W9 & Cal South Admin form were attached to your Coaches Registration email. Complete those forms and upload them here. If you have not completed a concussion certificate, you will need to upload that as well.

• W9 Form*Please upload the complete first page of the W9 Form.Accepted file types: pdf, Max. file size: 64 MB.
• US Soccer Form*Please upload the complete US Soccer Form Admin Form. File must be a pdf formatAccepted file types: pdf, Max. file size: 64 MB.
• New Coaches: Photo Head ShotPlease upload a current Picture. This will be used on your coaches page & Cal South form. No glasses please.Accepted file types: jpg, png, gif, Max. file size: 64 MB.

• US Soccer Required Documents

  If your answer is no to 1 or more of the forms listed below, please make sure you complete it asap. If 1 document is missing from US Soccer profile, it blocks me from creating player cards for your team.

• I have completed my Safe Sport with US Soccer*US Soccer requires every coach to go through a back ground check. If you have not completed it go to your GotSport Log in to complete.
  • 
    Yes
  • 
    No
• Have you completed the Disqualification-Suspension Review?*US Soccer Requires you to complete this course. You can do this through GotSport.
  • 
    Yes
  • 
    No
  • 
    
• Have you completed the Coaching License Certificate?*So Cal requires you to complete the Coaching License Certificate. You can do this through GotSport.
  • 
    Yes
  • 
    No
  • 
    
• Have you Completed Safe Sport Certificate?*Cal South requires a every coach completes Safe Sport Certificate program and refresher each year. This form must be uploaded to Cal South Profile in order for a Coaches Card to be generated.
  • 
    Yes
  • 
    No
  • 
    
• Current First Aid CPR Certificate*Do you currently have a valid First Aid and CPR certification card.
  • 
    Yes
  • 
    No
• Please feel free to comment below.

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