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2026 FOOTBALL COACHING APPLICATION
Indian Creek Chiefs Youth Football Association, INC
Head Coach / Assistant Coach Application
(All information provided is kept confidential)
Personal Information (Please print all information)
*
Full Name:
*
Address:
*
City:
*
Zip:
*
Home Phone:
*
Cell Phone:
*
E-mail:
Employer:
Occupation:
Employer Address:
City:
State:
Zip:
Football Coach Information
*
Can you attend all practices, games, clinics, and meetings:
yes
no
If not, who would act in your absents?:
*
Have you ever been suspended or expelled from any youth sport organizations?:
yes
no
If YES, please Explain:
Coaching Back Ground
*
Please list Team, League, Year, Position, and Record:
Please give reason for wanting to participate within the Indian Creek Chiefs Football program::
What positions do you feel the most comfortable coaching and why?:
*
Have you ever been convicted of a felony?:
Yes
No
If Yes, When and Where?:
*
Have you ever been convicted of any crimes against children?:
Yes
No
If Yes, When and Where?:
*
Other than the above, is there any fact or circumstances involving your back round that would call into question you being trusted with the supervision, guidance, and care of young people?:
Yes
No
If YES, please Explain::
I UNDERSTAND THAT:
A: The information that I have provided may be verified, if necessary , by obtaining a record check and/or contacting persons or organizations that may have information concerning me. I hereby release and agree to hold harmless any person or organization that provided the information. I also agree to hold harmless The Indian Creek Chiefs Youth Football Association, officers, volunteers, and any other person or organization that provided information.
B: In signing this application, I affirm that the information I have given is true and correct.
Signature:____________________________________ Date:____________
I agree with the above
*
BOARD USE ONLY
Approved ( ) Disapproved ( ) DATE: ______________________________
Team Assigned: BANTAM JV VARISTY
NOTES:
The Indian Creek Chiefs Youth Football Association does not limit participation in its activities on the basis of disability, race, color, national origin, gender or religious preference.
* indicates required fields
