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MVP360 USAF Camp Coach Roster

First Name *

Last Name *

Street Address *

City *

State *

Zip Code *

Phone Number *

Email address *

Nearest Airport *

Operation RiseUp Coaching Program For Service Members

Select Service if applicable: Service Members, Active, Retired, Dependents, Spouse, National Guard, Reserve, Coast Guard in support of Operation: RiseUp!

Do you have a Military ID? (CAC Card)

Yes

No

Entry Authorization List (EAL) Used for Base Background Check and Access

Driver's License Front (Do Not Upload Expired or Suspended License) *

Issuing State *

Driver's License Number *

Expiration Date * +

Age as of June 1st *

Date of Birth * +

Social Security Number *

If there is something on your record, even as a minor, please be aware that it will come up when the base does their background check. The paperwork we all do moves through the system at a slower pace and not all is surfaced right away. However, the Entry Authorization check picks up on any legal issues without time limits. If you attempt to get on base and you have unresolved illegal issues, you may be detained or turned away. If any of this happens, our agreement and travel arrangements are terminated immediately. *

I understand and confirm that my record is clean and free of any legal issues past or pending.

Required for Overseas Assignments

Valid and Current Passport *

Yes

No

Willing to travel overseas? *

Yes

No

Travel Restrictions *

Yes

No

ONLY IF YOU HAVE AND/OR WILL NEED ONE Passport Image with photo and expiration date

If you would like to travel overseas, please go to https://www.aaa.com/vacation/idpf.html

Follow instructions, obtain, return to this form, and upload.

Upload your International Driver's License if you would like to be considered for OVERSEAS trips.

Your Sport(s) *

Shirt Size *

3-5 Bullets On your Coaching Experience. If you coached last year, please list locations and sports. *

If you would like to be considered for a Camp Director position, Upload Resume

Emergency Contact: First Name, Last Name, Cell, Email *

Any Social Media Handles

Please Follow

https://www.instagram.com/mvp360sports/

https://www.facebook.com/mvp360sports/

Certification *

I certify that the information I have provided is true and factual. All of my required documents are authentic and up to date.

For questions or additional information, email felix@mvp360sports.com

MVP360 Sports Camps

https://www.mvp360sports.com/

Flag Football	Track & Field	Volleyball
Basketball	Lacrosse	Field Hockey
Floor Hockey	Pickleball	Soccer
Cheerleading	Crossfit

Small	Medium
Large	X Large
XX Large	XXX Large