Site: |
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If school, affiliated with what school district?: |
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Address: |
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City: |
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State: |
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ZIP: |
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Phone: |
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Fax: |
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The Site Liaison assures the smooth implementation of
the program by securing appropriate practice space, assisting
with registration, and serving as a link between coaches
and the school (see Liaison
Role Description for additional
details).
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Title/Role: |
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Briefly describe the available running area: |
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Briefly describe the available meeting space: |
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Briefly describe the available indoor space: |
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Please note any and all options for outreach at your school including newsletters, PTA meetings, flyer boards, etc.: |
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What grade levels does your school/organization serve? |
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Would communication in languages other than English be needed? If so, what languages? |
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If you are applying on behalf of a school, please estimate the total number of 3rd, 4th, and 5th grade girls at your school: |
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Briefly describe your recruiting and selection criteria . |
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Please describe area and how it will be accessed: |
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Candidate 1 Name: |
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Candidate 1 Role: |
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Candidate 1 Phone: |
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Candidate 1 Email: |
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Candidate 2 Name: |
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Candidate 2 Role: |
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Candidate 2 Phone: |
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Candidate 2 Email: |
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Candidate 3 Name: |
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Candidate 3 Role: |
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Candidate 3 Phone: |
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Candidate 3 Email: |
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Substitute Candidate 1 Name: |
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Substitute Candidate 1 Role: |
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Substitute Candidate 1 Phone: |
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Substitute Candidate 1 Email: |
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Substitute Candidate 2 Name: |
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Substitute Candidate 2 Role: |
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Substitute Candidate 2 Phone: |
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Substitute Candidate 2 Email: |
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Would your site like to be considered for more than one team (up to 16 girls)? |
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If yes, how many teams of 16 girls can your site accommodate (considering practice facilities)? |
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Team 1 Days: |
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Team 1 Times: |
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Team 2 Days: |
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Team 2 Times: |
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Team 3 Days: |
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Team 3 Times: |
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Please include any information you'd like to share with us about ability to pay among your participants: |
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Principal Name: |
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Principal Phone: |
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Principal Email: |
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