Any person who wants to coach a team in the Land Park Select Program is required to fill out this application prior to attending tryouts.

Contact Information   E-mail Address: * Name * Street Address * City ST ZIP Code * Home Phone * Cell Phone * Head Coach or Assistant ? * Head Coach Assistant Coach Team Name * Age Group * U9U10U11U12U13U14U15U16U17U18U19 Team Gender * Boys Girls     Tell us about your coaching experience.   Years Coaching Rec * 0123456789101112131415 Rec teams you have coached Years Coaching Select/Metro * 0123456789101112131415 Select/Metro teams you have coached Years Coaching Comp * 0123456789101112131415 Comp teams you have coached Other coaching experience ? (Describe) Coaching License * F E E/D D Other Trainings and/or Licenses Referee License * YES NO     Practice Schedule   How often do you plan to practice? * 2 Times a week 3 Times a week Weekends     Tournament Plans Mandatory of 3 How many tournaments do you plan to play? * 345678910 Type of tournaments Local Overnight Tournament Months August September October November     Coaching Philosophy   Briefly Describe your Coaching Philosophy     Parent References   Reference - Parent # 1 Name & Email * Reference - Parent # 2 Name & Email * Reference - Parent # 3 Name & Email * * Required