CHEER COACH APPLICATION

2022 ROCKAWAY ROCKETS CHEERLEADING COACH APPLICATION
Applicants Name

First Name Last Name
Current Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Home Phone
Your Cell Number
Please enter a valid phone number.
Your Email Address
example@example.com
Parent Name

First Name Last Name
Parents Cell Number
Please enter a valid phone number.
Parent's Email Address
example@example.com
Squad preference to coach (list 3 in order of preference):
*Preferences will be considered but are not guaranteed. Placement is assigned based on individual squad needs. Assignments are subject to change at the discretion of the cheer board.*
Have you taken the Rutgers SAFETY Course?

YES NO
Date it was taken

Month Day Year
Date
For Teen Coaches:
High School in Sept. 2022 (If Applicable)
Grade in School in Sept. 2022
Level of Cheer Sept. 2022
All Star Cheer

YES NO
Other Fall Sports/Activities (already signed up for or what you are trying out for), please list:
Should be Empty: