All Star Coach | North Carolina Coaches Association: Online Forms

All-Star Sport*

Year

2024
2025

Name*

First Last

Preferred Name (if different)

Photo

Max. file size: 12 MB.

Address*

Street Address City State ZIP Code

Preferred Phone*

Email*

School*

School Address*

Street Address City State ZIP Code

School Phone*

School Fax*

STATS

What sports do you currently coach?*

Record at current school in All-Star sport?*

How many season?*

Career record (all schools) in All-Star sport?*

How many season?*

State or national ranking, if applicable:

Conference regular season title(s)

Number (and include years)

Number of conference tournament title(s)

Number (and include years)

State playoff appearance

(specify level or round of tournament)

Honors you have received:*

Have you previously coached or participated in this or other all-star events?*

Yes
No

Please elaborate:*

List, in chronological order, other schools at which you have coached. Include sports coached and number of years.*

Summarize accomplishments in other sports you coach/ have coached. Include schools, years, major honors, career record, etc.*

PERSONAL DATA

Birth Date

Where were you born?

High School

Location

Graduation Year

Sports competed in as high school athlete, years, honors, team accomplishments, etc.

College

Location

Graduation Year

Degree(s)

Did you complete any post-graduate work?

Yes
No

Where?

When?

Degree

Thoughts about coaching in this all-star event and/or other information you want us to have:

Media Grant of Rights*

I hereby grant to the North Carolina Coaches Association and their legal representatives and assigns, the irrevocable and unrestricted right to use and publish photographs and video of me, or in which I may be included, for all media and any other purpose and in any matter and medium; to alter the same without restriction; and to copyright the same. I hereby release the North Carolina Coaches Association and their legal representatives and assigns from all claims and liability relating to said photographs and video.

I have read the above statement and agree with it's provisions.

RING/PENDANT/SHIRT INFORMATION

Team you will be coaching?

East
West

All-Star Year

Which would you like?

Type of ring?

Ring Size?

Shirt Size