Football Coaching Application

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Email *

Name *

Address *

Phone number *

2020 Child Fall Grade (if applicable)

K/1st

2nd

3rd grade Rookie Tackle

4th Grade Modified Tackle

5th/6th Grade Tackle

Desired Coaching Grade *

K/1st Flag

2nd Flag

3rd grade Rookie Tackle

4th grade Modified Tackle

5th/6th Grade Tackle

Required

Desired coaching position

Head Coach

Assistant Coach

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Previous Football/Youth Coaching Experience *

Please list three parent references *

Have you ever been charged, convicted, or pleaded guilty to any crime and/or any type of sexual misconduct? *

Yes

I agree and understand the following statements: *

I agree to attend the mandatory coaches clinic to be held in early July (likely July 12th, but details will follow)

I agree to learn and comply with the Fishers-HSE Youth league rules

I agree to complete the USA Football Coaching certification prior to being allowed to coach (Instructions can be found on the league website in the Coaches section)

I have been given a copy of the Coaches Code of Conduct and agree to abide by the Code (found in the main rules document on MYA website)

I permit Mudsock Youth Athletics to run a background check

Required

Coaches Information

I have received a copy of the league rule book (https://www.hseyouthfootball.com/Default.aspx?tabid=1198574)

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