TEEN CHEER COACH APPLICATION

2023 ROCKAWAY ROCKETS CHEERLEADING TEEN 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?*

YESNO
Date it was taken

MonthDay Year
Date
High School in Sept. 2023 *
Grade in School in Sept. 2023*
Level of Cheer Sept. 2023 (if applicable)
All Star Cheer

YESNO
Other Fall Sports/Activities (already signed up for or what you are trying out for), please list:
Should be Empty: