Valley Pop Warner

• 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: Might Mite Jr. Pee Wee Pee Wee Jr. Midget Midget
• Second Choice:
  (if not available) Might Mite Jr. Pee Wee Pee Wee Jr. Midget Midget
• Have you coached in Youth Football/Cheerleading before? Yes No
• If so, please explain:
• Besides Youth Football/Cheer, have you coached before? Yes No
• 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 FINGER PRINTED BEFORE THEY CAN COACH)

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

There is a lot of paper work and a lot of time involved.

As a coach you will be responsible for all participants and equipment left in your care.

As a coach, you are required to attend all scheduled meetings and participate in league fund-raisers.

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

Submit Application