American Youth Soccer Organization

a non profit corporation dedicated to youth soccer

everyone plays

 


AREA P

INTERMEDIATE COACHING CLINIC

WHO:    COACHES AND ASSISTANT COACHES

REQUIREMENTS:  MUST HAVE COMPLETED:  AYSO YOUTH COACHING COURSE

WHEN:           Friday                          August 1, 2003             6:00PM – 9:00PM

                        Sat & Sun                    August 2 & 3, 2002      8:00AM – 5:00PM

WHERE:        To Be Announced - Participants will be contacted directly to confirm registration and location of session.

Friday Night                 6:00-9:00pm @ TBA

                        Sat/Sun.                       8:00 am – 4:00 pm @TBA

REGISTRATION:    Limited to 30 people.  Registration forms must be received by July 16, 2003.  Tear off

and mail the completed form at the bottom of this page to:

Daniel Sherrin

11921 Juniette St., Culver City, CA. 90230

or

Fax to (310) 552-1219

ANY QUESTIONS CALL (310) 306-1373 or email dsherrin@topa-ins.com

Materials/Equipment Required: Bring notebook and pen for classroom instruction.  Field instructions will require athletic apparel, tennis shoes or cleats, shorts, soccer ball and shin guards if desired for all three days.  Please bring sunscreen, Lunch and water or drinks for Sat and Sun.

You MUST attend ALL 3 DAYS/ 17 Hours of the course to be certified.  No split sessions are allowed.

Form must be signed by Regional Coach Administrator confirming successful completion of AYSO YOUTH COACHING COURSE. 

 


REGISTRATION FORM

AREA P INTERMEDIATE COACHING CLINIC

NAME

 

PHONE

 

 

Print your name

 

 

ADDRESS

.

 

CITY

 

 

ZIP

 

 

 

REGION

 

Region Name:___________________________________

Email: ___________

 

Years of Coaching

Experience

 

Soccer Playing Experience:        Amateur         High School

   College        Professional         None

Completed Safe Haven 

Date: _________________

 

 

What level have you coached (Circle):  U-8   U-10   U-12  U-14  U-16   League   Tournament   Allstar  Boys  Girls  

The above named person has successfully completed the AYSO YOUTH COACHING COURSE

Regional Coach Administrator

 

 

Print Name

 

 

 

Signature