Club Sport Registration Form FY17
REGISTRATION QUESTIONS
Name of Club:
Does anyone from outside the Harvardcommunity participate in your club (if yes, how many)?
Does your club participate in any sparring, grappling, or fighting of any kind in practices or competitions (if yes, please explain in detail)?
COACHES AND INSTRUCTORS
Coach/Instructor 1
Name:
Volunteer or Paid:
If paid, annual salary:
Email Address:
Cell Phone Number:
Does this coach have any certifications in your club’s sport (if yes, please describe)?
Does this coach need a Harvard Athletic Membership to access the gyms and/or pools?
Current Harvard Athletic Membership card number (if applicable):
Coach/Instructor 2
Name:
Volunteer or Paid:
If paid, annual salary:
Email Address:
Cell Phone Number:
Does this coach have any certifications in your club’s sport (if yes, please describe)?
Does this coach need a Harvard Athletic Membership to access the gyms and/or pools?
Current Harvard Athletic Membership card number (if applicable):
Coach/Instructor 3
Name:
Volunteer or Paid:
If paid, annual salary:
Email Address:
Cell Phone Number:
Does this coach have any certifications in your club’s sport (if yes, please describe)?
Does this coach need a Harvard Athletic Membership to access the gyms and/or pools?
Current Harvard Athletic Membership card number (if applicable):
CLUB OFFICERS
Please list all club officers’ information below. Club officers can be defined as: President, Vice-President, Treasurer, Captain, or any other board position your club has created. Please list ALL officer positions,
Club Officer 1
Name and Class Year:
Title and Duties:
Email Address:
Cell Phone Number:
Club Officer 2
Name and Class Year:
Title and Duties:
Email Address:
Cell Phone Number:
Club Officer 3
Name and Class Year:
Title and Duties:
Email Address:
Cell Phone Number:
Club Officer 4
Name and Class Year:
Title and Duties:
Email Address:
Cell Phone Number:
Club Officer 5
Name and Class Year:
Title and Duties:
Email Address:
Cell Phone Number:
Club Officer 6
Name and Class Year:
Title and Duties:
Email Address:
Cell Phone Number:
Club Officer 7
Name and Class Year:
Title and Duties:
Email Address:
Cell Phone Number:
Club Officer 8
Name and Class Year:
Title and Duties:
Email Address:
Cell Phone Number: