STEP 1 - Club Leader Application

Step 1 takes 2-3 business days to process. Once approved, Step 2 will be training.

Your Information

--Running clubs where I will be paid $20 per member (based on a 8 Week Club)Running Free ClubsMy Interest

--Active TeacherRetired TeacherYouth LeaderParentStackerOtherTitle

First Name

Last Name

City

--AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Email

Date of Birth

Cell #

--I have taught Sport StackingI have not taught Sport StackingSport Stacking Experience

Proposed Club Location

ie: School Gym, Community Center, Library, Church

--8-16 members16-24 members24-32 members32-40 members40-48 members48-56 members56-64 members64-72 members72-80 members80+Estimated # of Club Members

Do you have a current background check? ie: through your School, Church, Library, etc.

Background Check

Yes No

Details

Please give details of where you have a background check. ie: through your school, church, job, library, etc...

Submit