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Date
*
Month
Time
*
:
AM
Name of School
*
Name of Program
*
Module Number
*
Both coaches arrived on time (30 minutes prior to start of class):
Yes
No
Class started on time:
*
Yes
No
Student attendance was taken and reported accurately:
*
Yes
No
All equipment was accounted for and operable:
*
Yes
No
If you answered 'no' to any of the above questions, please explain below:
*
If any injuries or incidents occurred, please report here and fill out respective form with additional details:
*
Head Coach signature:
*
Assistant Coach signature:
*
Submit
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