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Salutation None Mr. Mrs. Ms. Dr.

*First Name

*Last Name

*Birth Year Select a birth year... 1930 or earlier 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Why do we need this?

*Country Select a country... Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua & Barbuda Antilles, Netherlands Arabia, Saudi Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas, The Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, Democratic Rep. of the Cook Islands Costa Rica Cote D'Ivoire Croatia Cuba Cyprus Czech Republic Czechoslovakia (Former) Denmark Djibouti Dominica Dominican Republic East Timor (Timor-Leste) Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories - TF Gabon Gambia, the Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guerney Guiana, French Guinea Guinea, Equatorial Guinea-Bissau Guyana Haiti Heard and McDonald Islands Honduras Hong Kong, (China) Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, (South) Republic of Korea, Demo. People's Rep. of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macao, (China) Macedonia, TFYR Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montserrat Morocco Mozambique Myanmar (ex-Burma) Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Island Poland Portugal Puerto Rico Qatar Reunion Romania Russia (Russian Federation) Rwanda S. Georgia and S. Sandwich Is. Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia & Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka (ex-Ceilan) Sudan Suriname Svalbard and Jan Mayen Islands Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania, United Republic of Thailand Togo Tokelau Tonga Trinidad & Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay US Minor Outlying Islands Uzbekistan Vanuatu Vatican City State (Holy See) Venezuela Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe

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Additional Information

CC Number

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*Position and province where you hold that position
Select a position... Teacher-Coach Support staff-Coach Volunteer-Coach (E.g. parent or community member) Athletic Director High School Student Assistant Coach/Team Manager High School Student Post-Secondary Student Other in Select a province... Alberta British Columbia Manitoba New Bunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon

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What sports do you coach? Check all that apply.

Sport	ASAA	Non-ASAA
Badminton
Basketball
Cheerleading
Cross-Country
Curling
Football
Golf
Rugby
Team Handball
Track & Field
Volleyball
Wrestling
Baseball
Bowling
Cross Country Ski
Downhill Ski
Field Hockey
Gymnastics
Ice Hockey
Lacrosse
Rodeo
Rowing
Soccer (Indoor)
Soccer (Outdoor)
Softball
Speed Skating
Swimming
Tennis

I coach other sports, not listed above