East Bridgewater Vikings - (East Bridgewater, MA)

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2025 EBCC Football and Cheerleading Coach and Weigh-In Rep Application

Personal Information:

* First Name::

* Last Name::

* Date of Birth (For CORI)::

* Last SIX (6) of Social Security # (For CORI)::

* Mother's Maiden Name (For CORI)::

* Street Address::

* City::

* State::

* Zip Code::

* E Mail Address::

Home Phone #::

* Cell Phone #::

* Have you previously coached with EBCCYFC:

* Football or Cheerleading:

* Coaching Preference:

* Weigh In Representative:

* Preference of Level:

* Are you CPR/First Aid Certified? (Current):

* Have you been convicted of a felony or any crime involving violence or abuse?:

If Yes to above, Please provide details::

Coaching Experience::

* What are your reasons for wanting to coach?:

Children Registered in Program

Child's Name Level Football or Cheer:

I have read, understand and agree to uphold the Coaches Code of Conduct. I check this box to complete the application process and to replace my signature. *

I agree to uphold the EBCCYF Constitution and Bylaws and will follow the decsions of the Board. I check this box to complete the application process and to replace my signature. *

I understand and agree that EBCCYF reserves the right to dismiss a coach that is in violation of the bylaws. I check this box to complete the application process and to replace my signature. *

I understand EBCCYF will be performing a background CORI check and the results will determine your eligibility as a coach. I check this box to complete the application process and to replace my signature. *

* indicates required fields