• Name:
• DOB:
• Gender: Male Female
• Email:
• Address:
• City:
• Zip:
• Home Phone:
• Work Phone:
• Cell Phone:
• Place of work:
• Social Security #:
• CA Drivers License #:

• Position: Head Coach Assistant Coach
• Which group: Football Cheerleading
• Which division: Tiny Mite Mighty Mite Jr. Pee Wee Pee Wee Jr. Midget Midget
• Second Choice: Tiny Mite Mighty Mite Jr. Pee Wee Pee Wee Jr. Midget Midget
• Have you coached Youth Football/Cheer before?
  Yes, I have coached football/cheer before. No, I have not coached football/cheer before.
• If so, please explain:
• Beside Football/Cheer, have you coached before?
  Yes, I have coached other sports. No, I have not coached other sports.
• If so, please explain:

• Do you have a child in our program?
  Yes No
• Child's Name:
• Child's Div:

• Have you ever been convicted of a felony?
  Yes No
• If so, please explain:
• Would you be interested in a board position?
  Yes No
• If so, please explain:

(ALL COACHES MUST BE BACKGROUND-CHECKED BEFORE THEY CAN COACH)

Please be aware that a coaching position involves a huge commitment.

Take time to consider your position.

Being a coach is a very rewarding job. Your time spent will be rewarded by the gratification you receive from helping our youth.

Thank You for applying