Fill out the form below to register as an Upward League Cheerleading Coach.

Basic Information

FirstName: *

MI:

LastName: *

Address: *

City: *

State: * select...AKALARASAZCACOCTDCDEFLFMGAGUHIIAIDILINKSKYLAMAMDMEMHMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRPWRISCSDTNTXUTVAVIVTWAWIWVWY

Zip: *

EMail: *

DOB: *

MonthJanFebMarAprMayJunJulAugSepOctNovDec

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Year1900190119021903190419051906190719081909191019111912191319141915191619171918191919201921192219231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026202720282029203020312032203320342035203620372038203920402041204220432044204520462047204820492050

Gender: * select...MaleFemale

GenderToCoach: * select...MaleFemale

GradeToCoach: select...0123456

HomePhone: *

WorkPhone: *

GolfShirtSize: * select...Adult SAdult MAdult LAdult XLAdult 2XLAdult 3XL

ChurchName: *

Notes:

Preferred Practice Days

PreferredMonday: *

Yes

No

Select if you are availble for practice on Mondays.

PreferredTuesday: *

Yes

No

Select if you are availble for practice on Tuesdays.

PreferredThursday: *

Yes

No

Select if you are availble for practice on Thursdays.

PreferredFriday: *

Yes

No

Select if you are availble for practice on Fridays.

Additional Information

Have you coached Upward Cheerleading before?: *

Yes

No

Do you plan to coach your child’s cheerleading team?: *

Yes

No

If yes, what is your child’s name and grade?:

Do you know someone who might be interested in Coaching/Volunteering for Upward this year?

Name:

Phone Number:

Are you a member of a local church?: *

Yes

No

Have you made a personal commitment to Jesus Christ?: *

Yes

No

Please share a little about your relationship with Jesus.: *

Please select the following positions you would also be available to volunteer for::

Prayer Partner

Devotional Leader

Score keeper

Concessions

Game day clean up (after last game)

I will be attending the Coaches training session held on: *

Monday, November 28, 6:30-8:00pm

I understand that any negative personal habits that I have (smoking, alcohol, profanity, etc.) may have a negative affect on a child’s spiritual development.  Understanding that the children on my squad have been placed under my guidance, I commit to setting a worthy behavioral example for them to look to.

Agree/Disagree: *

Yes

No