Home of the Vikings Valley Central Youth Football & Cheerleading
P.O. Box 296 Montgomery, N.Y. 12549 www.vcyfl.org
Member of Orange County Youth Football League
Coaching Application
Please return completed application to: Robert Palmer - Football Director OR Lori Prestia- Cheer Director
Thank you for volunteering to be a coach in the Valley Central Youth Football and Cheerleading league. Coaching is a significant commitment; please make sure you have adequate availability before putting in this application. All Coaches are required to abide by the rules of the Orange County Youth Football League as well as the rules set by the VCYF&C board. All coaches must sign a coach’s code of conduct. In addition background checks may be preformed. Please complete the information below and hand the application in to either Gerard for Football or Lori for Cheerleading. Thanks and have a wonderful season.
NAME__________________________________________________________________________________
ADDRESS_______________________________________________________________________________
HOME PHONE______________________________CELL PHONE_____________________________________
EMAIL__________________________________________________________________________________
Driver’s License: State________ #__________________________________
Volunteering for:
(Circle one) FOOTBALL OR CHEERLEADING (circle one) DIV 3 DIV 2 DIV 1 MIGHTY MITES
COACHING EXPERIENCE & AND SAFETY CERTIFICATIONS HELD_________________________________
____________________________________________________________________________________
OTHER PAST EXPERIENCE LEADING YOUTH______________________________________________________
____________________________________________________________________________________
Please give 2 personal references we may contact: (name, address & phone #)
_____________________________________________________________________________________
_____________________________________________________________________________________
SIGNATURE___________________________________________________ TOWN VC _ SEASON 2011
Office use: Approved/ Not Approved By:________________
If not approved why?______________________________________________________________________