First Name

Last Name

If you have previously registered for a U.S. Soccer Foundation training, please use the same email.

Zip Code

Please enter the Zip Code in which you predominantly coach.

Gender

Please select the City, State, Zip Code, and Market in which you predominantly coach.

City

Date of Birth

Enter date using format: MM/DD/YYYY.

Ethnicity

State

Market

Email Opt In - By checking the box below, I agree to receive email communication from the U.S. Soccer Foundation inclusive of marketing, news, and other updates. I understand that submission of this registration will grant the U.S. Soccer Foundation permission to send communication directly related to my participation in the Coach-Mentor Training program, irrespective of my response.

I agree

Waiver - By checking the box below I agree to U.S. Soccer Foundation's medical release/waiver/indemnity agreement and model release and authorization to video/photograph.

I agree

Employee/Volunteer Background Checks - By checking the box below, I affirm that I have cleared my employer's required criminal history background check in the last year.

I agree

Indemnification - By checking the box below, I agree to indemnify, defend, and hold harmless the U.S. Soccer Foundation in connection with participation in the program. Learn more.

I agree

Release, Waiver, Indemnification, and Background Check - By checking the box below, I agree to the U.S. Soccer Foundation's Medical Release/Waiver/Indemnity Agreement and Model Release and Authorization to Video/Photograph, as well as adhere to the Foundation’s Background Check Policy.

I agree

UTM Fields

Training Code