WeCOACH | Women Coaches Organization


Individual Membership Registration Form
Levels
Coach-1: Current Collegiate, Professional or National/Olympic Team Staff Head Coach, Associate Head Coach, Assistant Coach, Director of Operations, Strength and Conditioning, Athletic Training, Video Coordinator. Cost: $99 for 1-year
Coach-2: Coach of High School, Middle/Junior High, Club/AAU or Youth Team, Graduate Assistant, Student and Aspiring Coaches. Cost: $59 for 1-year
Ally: Retired Coach, Athletic Administrator or anyone who seeks to honor and support women coaches. Cost: $79 for 1-year
Membership Level *
First Name *
Last Name *
Gender
Pronouns
Cell Phone *
Yes, I would like to receive occasional texts from WeCOACH.
What's the best number for us to text you? *
Email *
Alternate Email Address
Birth Date	// (mm/dd/yyyy)
Ethnicity
Athletic Affiliation *
Academic Institution or Organization Name (Please enter name as it should appear on your Membership Account) *
State/Province *
Zip *
Current Position *
If Other position, please specify
Primary Sport Actively Coaching *
Secondary Sport Actively Coaching
If Other sport, please specify
Sport Gender
What year did you enter the coaching profession (Please enter YYYY)
If retired coach, last year coached (Please enter YYYY)
What year did you start your current coaching position (Please enter YYYY)
Do not list me in the online member directory	Do not list me in the online member directory

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