Coaching Registration Form
Coach's Interests
*
Cheer Camps, Clinics, Workshops
Cheer Conditioning
Cheer Fundamentals
Cheer Stunting
Cheer Tumbling
Full-season Competition Cheer
Half-season Competition Cheer
General Training (Open Gym)
Solo or Group Choreography
Private Lessons
Coach's Name
*
First Name
Last Name
Preferred Nickname
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Date of Birth
*
/
Month
/
Day
Year
Date
What is your highest level of education?
High School (or GED)
Associate's Degree (or Trade certification)
Bachelor's Degree
Master's, PHD, etc.
Are you employed currently?
Yes
No
If yes, what is your occupation?
How many years of coaching experience do you have, if any?
*
Are you coaching currently with another cheer program?
*
Yes
No
If you answered "Yes" to the previous question, what is the name of the cheer program?
What age group, level, or division do you coach or prefer to coach?
What are your special skills or areas of expertise?
*
If you are under the age of 18 years old, you must complete the parental information below.
Current School (if a minor)
Type "N/A" if you graduated from high school or college.
Current Grade (if a minor)
Type "N/A" if you graduated from high school or college.
Parent or Guardian's Name (if a minor)
First Name
Last Name
Parent's Phone Number (if a minor)
Please enter a valid phone number.
Format: (000) 000-0000.
Parent's Email Address (if a minor)
example@example.com
Parent's Mailing Address (if a minor)
Physician Information
Emergency Contacts
*
Rows
First and Last Name
Relationship
Phone #
Contact #1
Contact #2
Contact #3
Contact #4
Do you have any special accommodations? If yes, please explain in detail. We will contact you to further discuss the information you've shared. Type "N/A" if not applicable.
*
Do you have any known allergies or food restrictions? Please specify. Type "N/A" if not applicable.
*
Do you have a valid driver's license? If yes, upload a clear copy showing all corners and edges. Your driver's license will be use to submit for the purpose of performing a background check.
Note: Should you join the CVB team, please prepare to furnish proof of valid credentials.
Are you CPR certified and First Aid trained? If yes, upload clear copies showing all corners and edges. These credentials are required for coaching at CheerVersity. Contact us to inquire about where you can obtain the credentials.
Note: Should you join the CVB team, please prepare to furnish proof of valid credentials.
Upload certified and unexpired documents here.
Browse Files
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Please answer the questions as follows.
Have you been convicted of any crime other than a minor traffic violation?
Have you every coached at any other cheer gym?
Are you involved with or receiving compensation from any other cheer program?
Will you or do you have a child participating as a CheerVersity athlete?
Have you ever been refused participation in any other youth programs or had any disciplinary action taken against you (e.g. being removed from coaching during a game or probation or suspension)?
Please provide explanations to the questions above to which you answered "Yes."
Apparel Sizes
*
Rows
YXS
YS
YM
YL
YXL
AXS
AS
AM
AL
AXL
AXXL
T-shirt
Sweatshirt
Halter Top
Jacket
Shorts
Pants
Shoe Size
*
Rows
4
4.5
5
5.5
6
6.5
7
7.5
8
8.5
9
9.5
10
10.5
11
12
13
Select Size
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How did you hear about the CheerVersity™ Blazers?
*
CheerVersity.com
Google/Web Search
Promotional Flyer
Social Media
Word of Mouth
Other
Please verify that you are human
*
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