PDP Coach Sign Up

Coach Registration:
Please fill out this registration form and submit. We will be in touch soon. Thank you

Harford Sports Performance Center
121 Industry Lane in Forest Hill, MD 21050.

Coaches Name: *
Coaches Address
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Coaches Contact Cell # *
Coaches Contact Email: *
Assistant Coach Name:
Assistant Coach Cell #
Assistant Coach Email:
Age groups (Choose One):
I certify As the undersigned Parent/Legal Guardian of the Player named above I understand that my child will not be covered by any program insurance, and agree that I will not hold the team, the club, the coach, any instructors or Harford Sports Performance Center responsible for injuries received while participating in the above tryout and/or program.
Digital Signature *
YesNo
Date Signed: *