Cheer Coach Application

First name

Last name

Social Security Number

Multi-line address

Country/Region

Address

City

Zip / Postal code

Age Group

Email

Do you have a child cheering?

Yes

No

Child First Name:

Child Last Name

Have you coached cheer before?

Yes

No

Have you cheered before?

Yes

No

Have you ever been removed from coaching position for un-sportsman like conduct?

Yes

No

If so, please explain

Have you ever been arrested & charged with a felony?

Yes

No

Have you ever been arrested for substance abuse?

Yes

No

If so, please explain

Please list three character witnesses

First Name & Last Name

Phone #

First Name & Last Name

Phone #

First Name & Last Name

Phone #

Notes

I acknowledge I will have to complete a coach certification and authorize a background verification through the park directly for further consideration.

Signature

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Cheer Coach Application