East Bridgewater Vikings - (East Bridgewater, MA)

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2026 EBCC Football/Cheerleading Coach and Weigh-In Rep Application

Personal Information:

* First Name:

* Last Name:

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

* Date of Birth (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 or volunteered with EBCCYFC?:

* Football or Cheerleading:

* Coaching Preference:

* 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/volunteer?:

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 decisions 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 my eligibility as a coach. I check this box to complete the application process and to replace my signature. *

* indicates required fields