The Germantown Football Association

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GFA Coaches Application

* Name:

* Complete Street Address:

* City & Zip:

Email - primary source of communication:

* Phone Number:

* Are you over age 21:

* Current Health Problems (if any):

* Emergency Contact:

* Emergency Contact Phone Number:

* Have you ever been charged with a felony offense or are you awaiting the results of a felony charge? If yes, when and what was the actual charge?:

* Have you coached organized Tackle Football? If yes, when and where?:

* What are your strong points?:

* Is it your preference to be a head coach or assistant coach?:

* What level would you prefer to coach?:

* Do you have a child participating with Germantown Football? If yes, what is his name and what level?:

* Do you have any of the following certifications?:

National Youth Sports Coaches Association (NYSCA)

CPR

1st Aid

Is there any other information you would like us to consider?:

Please read carefully before signing.

By signing this application, I certify the information included is true and correct. I agree to abide by all rules and regulations of the Germantown Football Program and the Mid Maryland Youth Football and Cheer league. I grant permission to the Germantown Football Program to conduct a confidential background check.

Please note that submission of this application does not guarantee a coaching position. All coaching positions are subject to a formal interview process and board approval, even if you have coached with us in the past.

Please check box to accept all terms and conditions set by Germantown Football. *

Signature:

Date:

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GFA Coaches Application