The City of Wellston, Ohio
RECREATION DEPARTMENT
Youth Coach Application

Please print this application on your computer, then fill it out and mail to:

Wellston Recreation Department
City Building
203 E Broadway St
Wellston, OH 45692-1521

Name____________________________________________________________

Address__________________________________________________________

City____________________________________ State________ Zip__________

Home Phone_________________________ Cell Phone_____________________

E-mail address_____________________________________________________

Have you ever coached any other sport or activity?
If so, please list your experience.





Would you volunteer your time for concession stand duties, to referee
games, help with the scorebook, or assist with cleanup responsibilities?

___ Yes ___ No

Will you agree to and sign our Coach's Code of Conduct?

___ Yes ___ No

In a brief paragraph, tell us why you are interested in coaching:






Thanks! We'll contact you soon.
Form R1
WRD-05/rbc