REQUEST TO HOST AN INDOOR/FUTSAL CLASS

Please Complete the following:

Class Coordinator:         

Coordinator's Email Address:         

Must provide mailing address for uniform orders

Coordinator's Address:         

Coordinator's Address 2:         

Coordinator's City:            State:         Zip:      

Coordinator's Phone #:        

Sponsoring League/Club:  

Location of Class:         

Location Address:  

Location City:    State:         Zip:  

Class Time:  8:30AM - 5:30PM


Please provide the date for the class (mm/dd)

ANY NEW CLASS MUST BE COMPLETED BY JUNE 1, 2011 (Classes are not taught during July & August)

Class Date  

 

 

Comment:
__________________________________________________________

Your class will be posted on EPSARC's website. Please be aware of the following:

 

As course coordinator – you are responsible (1) for securing a proper facility for all sessions & (2) collecting the $60 registration fee. For the field session, a field is required. In the winter, or inclement weather a large enough gym must be available. 

 

The minimum number of students is 15 and the maximum is 30-no exceptions.  EPSARC must receive the minimum registration fee (15 students) 3 weeks prior to the class, if not the class will be cancelled. No instructors be will assigned until payment has been received.

 

The course coordinator is responsible for contacting the lead instructor a minimum of one week prior to the course, to determine needs for facilities and equipment. The course coordinator or designated person must be on site for the start of each session, in case of problems.

 

All students must be

(1) Currently registered USSF referees

(3) pass the Final Exam with a grade of 75 or higher.

 

The student must attend the entire day to be allow to sit for the test.

 

By clicking, I CERTIFY, you acknowledge the requirements to host an Indoor / Fustal Class