Volunteer Coach Application

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

Have you coached before?(Required)

If yes, which sport and how many years?

Are you currently coaching?(Required)

If yes, which sport and how many years?

Are you CPR qualified?(Required)

If yes when does your card expire?

Available Days to work. (We work M-Th and some Saturdays for competition preparation)(Required)

Do you submit to a back ground check?(Required)

I agree to show up and work with the Rockford Phoenix Cheerleading Club board.(Required)

Signature

Date