Coaches Registration Form "*" indicates required fields Name* First Last Address* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Home PhoneCell PhoneEmail Address* Enter Email Confirm Email Are you a part time or full time coach?* Part Time Full Time What days are best for you?* Mondays Tuesdays Wednesdays Thursdays Fridays Select AllAre you available to coach for the full season?* Yes No Where are you willing to meet the blind golfer at?* Meet golfer at his/her home Meet golfer in route to the golf course Meet golfer at the golf course This field is hidden when viewing the formWhat type of blind golfer do you prefer playing with?* I prefer to only coach a junior blind golfer (age 5 to 21) I prefer to only coach an adult blind golfer (age 21 and older) I prefer to coach a junior or adult blind golfer What is the name of the blind golfer(s) you are coaching?