Coach Information

Coaches Information form

This information will be used for initial press release, game program, and for ordering camp apparel. Please complete the form as thoroughly as possible, most fields are required. Thank you.

Contact Information

* Indicates required field

Name *

First

Last

School *

Email (School) *

Email (Other) *

Phone (Cell) *

Street Address *

City *

State *

Zip *

Resume

High School Attended *

Undergraduate *

Graduate (If any) *

Other degrees/certifications *

# of Years in Coaching *

# of Years as a Head Coach *

Head Coaching Resume (What Schools/Years) *

Years at Current School *

2020 Record *

Record at Current School *

Overall Coaching Record *

Have you Coached in Kansas Shrine Bowl / What years? *

Did you play in the Kansas Shrine Bowl / What year? *

family

Spouse/Significant Other *

Children (Please include names & ages) *

Have any of your children participated in the Kansas Shrine Bowl? (Please include name, year, squad) *

Have any of your family members participated in the Kansas Shrine Bowl? (Please include relationship, name, year, squad) *

apparel

T-Shirt Size *

Polo Size *

Short Size *

Shoe Size (dependent on sponsorship) *

Photo (Head Shot) *

Max file size: 20MB

Comment *

Submit

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