ABINGTON YOUTH
FOOTBALL/CHEERLEADING
Personal Information:
Name:
________________________________________________
Address:
______________________________________________
City/State/Zip:
__________________________________________
Home
Phone: ____________________________________________
Work:
_________________________________________________
Cell:
___________________________________________________
Email:
__________________________________________________
Children in League:
Childs Name (Last,
First) Age: Football/ Mite/Peewee/Midget
Cheer:
____________________ ____ ________ _________________
____________________ ____ ________ _________________
____________________ ____ ________ _________________
Coaching Preference:
Asst.
Coach____ Football_____
Coaching Experience:
__________________________________________
____________________________________________________________
Reasons for wanting to coach. ____________________________________
_____________________________________________________________
Have
you ever been refused participation in any youth programs?
If
yes, explain: __________________________________________________
__________________________________________________
Please list three references, at least one of which
has knowledge of your participation as a volunteer in a youth program:
Name Phone
________________________________________________
________________________________________________
________________________________________________
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. (Must attach copy of drivers license)
· 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.
· No coaching application
will be accepted without a completed CORI form and copy of license.
Signature: _____________________________ Date:
______________