Thank you

Thank you. Your coach information should be added within 24 hours. You will now be redirected back to the add page.

Add a Coach: Step 2 of 2

Add a Coach: Step 1 of 2

If you would like to add a coach to our website, simply fill out the form below. Be sure to fill out every field. After filling out each field, click submit. You will then be prompted to confirm your information before the information is sent to us.

Name

Street Address

Street Address Two (optional)

City

State

Choose a State/Province/Country $value){ if(strcmp($_POST[state], $value) == 0){ $str = " selected=\"selected\""; } echo "$value"; $str = ""; } ?>

Zip/Postal Code

Phone

Fax / Alternate Phone

E-mail

Website

Info

Certifications

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$list[coach_certification_name]

Services

"); echo(""); while ($row = mysql_fetch_array($results)) { if(!($i%1)) echo ""; echo("\n"); $i++; } echo(""); ?>

$row[coach_service_name]

Education

"); echo(""); while ($row = mysql_fetch_array($results)) { if(!($i%2)) echo ""; echo("\n"); $i++; } echo(""); ?>

$row[coach_degree_name]

General Info

<? if($_POST[info]){ echo strip_tags(stripslashes($_POST[info])); } ?>

Rates & Fees

<? if($_POST[cost]){ echo strip_tags(stripslashes($_POST[cost])); } ?>

Camps

<? if($_POST[camps]){ echo strip_tags(stripslashes($_POST[camps])); } ?>

Please confirm your information. If everything is correct, click the submit button. Otherwise, you may click the edit button to change your information before submitting.