My GIRLS - Royal Instructor Application
Applicant Information
Legal Full Name (as appears on ID)
*
First Name
Last Name
Preferred Name (if different)
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Age Category:
*
Junior Instructor (15-17)
Instructor (18+)
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Emergency Contact Relationship
*
Position Interest
Primary Area(s) of Expertise
*
Cheer
Dance - Hip Hop
Dance - Majorette
Dance - POM
Tumble
Program Type(s) Interested In
*
Classes & Clinics
Showcase Team
Competitive Team - Full Year
Competitive Team - Half Year
Summer Camp
After School Program
Birthday Parties
Location Interest
*
Baltimore (Royal Castle)
Prince George's (Royal Fortess)
Both
Which day(s) of the week are you available?
*
Monday Morning
Monday Afternoon
Monday Evening
Tuesday Morning
Tuesday Afternoon
Tuesday Evening
Wednesday Morning
Wednesday Afternoon
Wednesday Evening
Thursday Morning
Thursday Afternoon
Thursday Evening
Friday Morning
Friday Afternoon
Friday Evening
Saturday Morning
Saturday Afternoon
Saturday Evening
Sunday Morning
Sunday Afternoon
Sunday Evening
Experience & Qualifications
Have you participated in:
*
Cheer
Dance
Tumble
None
Years of experience (if none put zero):
*
Have you coached before?
*
Yes
No
If yes - type (rec, competitive, school, etc.), years, age groups
Certifications (if any)
CPR/First Aid
SafeSport
Tumbling Certification
Other
References
Provide two references (Required for 18+, recommended for juniors)
Reference # 1 Name
*
First Name
Last Name
Reference #1 Relationship
*
Reference #1 Phone Number
*
Please enter a valid phone number.
Reference #1 Email
*
example@example.com
Reference # 2 Name
*
First Name
Last Name
Reference #2 Relationship
*
Reference #2 Phone Number
*
Please enter a valid phone number.
Reference #2 Email
*
example@example.com
Consent
For Juniors (15–17) Parent/Guardian Consent Required
Parent Name
First Name
Last Name
Parent Phone Number
Please enter a valid phone number.
Parent Email
example@example.com
Agreements & Acknowledgment
I understand that if selected, I will serve as an Independent Contractor and not as an employee of My GIRLS, Inc. I understand I am responsible for my own taxes, certifications, and professional development requirements.
*
I acknowledge and agree
I understand that selection is contingent upon successful completion of a background screening.
*
I consent
I understand that I may not recruit athletes, solicit families, or represent My GIRLS outside of approved communication channels.
*
I acknowledge
Applicant Signature
*
Parent Signature (for Juniors)
Submit
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