ABINGTON YOUTH FOOTBALL/CHEERLEADING

2007 COACHING APPLICATION

Personal Information:

Name:

Address:

City/State/Zip

Home Phone:

Work:

Cell:

Email:

Children in League:

Football or Level

Child’s Name (Last, First) Age: Cheerleading Mite/PeeWee/Midget

_______________________ _____ ______________ __________________

_______________________ _____ ______________ __________________

_______________________ _____ ______________ __________________

Coaching Preference:

Head Coach_____ Cheerleading_____ Mite/PeeWee/Midget

Asst. Coach _____ Football_____

Coaching Experience:

Reasons for wanting to coach?

Are you CPR/First Aid Certified? Yes___ No ___ Please attach a copy of certification.

Have you ever been convicted of a felony or any crime involving violence or abuse?

Yes ____ No ____ If yes, please provide details.

By signing this application I the undersigned:

· Acknowledge having read and agree to uphold the Coaches Code of Conduct.

· Agree to file a CORI application

· Agree to uphold the AYF Bylaws and follow all decisions of the Board

· Understand and agree that AYF reserves the right to dismiss a coach that is in violation of any Bylaw

Signature:_____________________________ Date:____________________