STATE/REGION/AREA
ASSISTANT COACH OF THE YEAR
AWARD INFORMATION
THE GEORGIA ATHLETIC COACHES ASSOCIATION PRESENTS
CERTIFICATES TO ASSISTANT COACHES OF STATE/REGION/AREA
WINNERS. THE ASSISTANT COACH HAS TO BE A MEMBER OF THE GACA. THE
CERTIFICATES ARE FREE.
CERTIFICATES CAN ALSO BE MADE INTO PLAQUES BUT THIS WILL BE AT THE
SCHOOL’S EXPENSE. PLEASE PRINT OR TYPE.
YEAR: ___________ STATE CHAMP: _____YES _____ NO REGION CHAMP: _____YES ____NO
REGION # : _______ OR AREA # : _______ CLASSIFICATION: __________________
SPORT: ____________________________________BOYS _________GIRLS_________
NAME OF SCHOOL: _______________________________________________________
SCHOOL ADDRESS: ______________________________________________________
CITY: __________________________________________ ZIP CODE: _______________
HEAD COACH’S NAME: ___________________________________________________
ASSISTANT COACHES NAMES:
PLEASE SPECIFY: CERTIFICATE(S): _______
PLAQUE(S): ________ (CHARGED TO SCHOOL)
IF YOU ARE ORDERING PLAQUES AT YOUR SCHOOL’S EXPENSE, PLEASE PROVIDE
US WITH YOUR SCHOOL’S PURCHASE ORDER # OR APPROVAL BY THE AD OR
PRINCIPAL. IF YOU HAVE WON BOTH REGION AND STATE CHAMPIONSHIPS AND
WANT PLAQUES FOR THE ASSISTANTS, WE WILL AUTOMATICALLY SEND
CERTIFICATES (FREE) FOR THE REGION CHAMPIONSHIP AND PLAQUES (PAID FOR BY
THE SCHOOL) FOR THE STATE CHAMPIONSHIP UNLESS YOU INDICATE ON THE FORM
THAT YOU WANT PLAQUES FOR BOTH (AT SCHOOL EXPENSE). THANK YOU.
SCHOOL’S PO # ____________________________________
APPROVAL BY AD OR PRINCIPAL_____________________________ DATE: __________
PLEASE RETURN BY FAX TO: GACA 770-578-6127