Host a Coach Program

Please fill in the form below and then hit the submit button. If you have any questions please contact Daren Lloyd (508) 460 6570 or email darrenlloyd@playsoccer.com

Host A Coach

*Parent Name

*Camper Name

*Address

*City

*State

*Zip Code

*Home Phone

*Cell Phone

*Email Address

*Name of Sponsoring Town/Club

*Date Of Camp

*Time Of Camp

*Have you already registered/paid for the week of camp? If Yes, please give details (amount,1/2 day, full, etc)

*Other weeks you would be willing to host a coach:

*Would you be willing to host more than one coach? If Yes, how many?

*Will you be willing to host the coach during the weekend following camp?

*Will you be able to transport the coach to camp every morning?

*Will you be able to transport the coach to a new host family? Yes No

*Do you have a neighbour or friend that would be interested in hosting a coach? Yes No

*If Yes, please give details:

*Please give a brief description of the living facilities that you would be able to provide for coach:

*Any additional comments or questions?

Thank you for your interest