CW Little Scouts Football
Fall 2021 Football Coaches Application

CWCA Code of Conduct:

BEFORE YOU REGISTER: All parents, players, guests and volunteers are subject to the CWCA Code of Conduct and must behave accordingly. Participation in any of these events or activities is at the sole discretion of the CWCA and its member clubs. Failure to abide by club rules may result in exclusion from one or all of its member youth sports clubs. Any incidents that are of concern should be reported through appropriate channels: 1st to the coach of your team, 2nd to the member-club officers, and 3rd to the CWCA board.

See also the CWCA Mandated Reporter Information Sheet

Thank you for your help in making CWCA Youth Sports Clubs a success
by setting a good example for our children.



NOTES: All fields are required. Use 'none' or 'n/a' or similar answers for empty fields as needed...
This form will reject any text it suspects to be inline code or scripts to other sites.
Please note: ALL coaches are required to complete a child abuse and criminal background check.
Coach First Name
Coach Last Name
Shirt Size AS AM AL AXL AXXL AXXXL AXXXXL
Street Address
City
Zipcode
Occupation
Date of Birth
How many children do you have in the program?
Have you ever plead guilty to or been convicted of a crime? yes no
If Yes, please describe
Contact Information
Home Phone Number
Cell Phone Number
Daytime Phone Number
Email Address
Experience / Certifications Football Coaching / Equipment Manager Experience
Years of Experience
Where
Position
Special Certifications
( CPR, Medical, etc... )
Position Applied For ( enter team name in fields below )
Position Applied For
Team Name Applied For
Coaching References - No Relatives Please
Reference #1 First Name
Reference #1 Last Name
Reference #1 Phone Number
Reference #2 First Name
Reference #2 Last Name
Reference #2 Phone Number
Reference #3 First Name
Reference #3 Last Name
Reference #3 Phone Number