Spotsylvania Youth Football Association

Team Mom Application

Name ______Date of Birth ______

Driver’s License Number Address______

City Zip______

Home Phone Work Phone ___ Cell Phone______

Email Address______

Please list the best time to contact you______

Please attest to the following mandatory requirements by checking each box:

  I realize this is a volunteer position but requires my full commitment during the entire football season which starts in July and may not end until December.

  I have the ability to send emails, text messages and any other form of communication needed to parents, coaches, etc.

  I have effective communication skills that will allow me to maintain an open line of communication with coaches, parents, players, etc.

Personal References:

1.  Name______Home Phone______

Address______Work Phone______

2.  Name______Home Phone______

Address______Work Phone______

Experience: (Summarize your volunteer experience and involvement in youth activities. If you need more space please use reverse side.)

______

______

______

______

______

______

Reason for wanting to be a Team Mom: Explain your interest.

______

______

______

I would like to be Team Mom for: (Circle One) Tiny Mites Mitey Mite Cadet 11U

13U Cheer Team

Other______

Have you ever participated in a youth sport program/organization and been subjected to disciplinary action: (Restricting participation or resulting in expulsion from the program/organization.) No ___Yes __

If so, please explain providing circumstances and outcome:

______

______

______

______

Do you have a son playing football or daughter participating in football/cheerleading?

His/her Name ______Age ______Team ______

His/her Date of Birth ______His/her School Name ______

·  SYFA strives to place the most qualified adults in positions to coach & volunteer to support our young men and women in our organization.

·  Our mission is to teach sound football and cheer fundamentals in order to assist our players advance to the next level academically and athletically;

·  Set the standard locally for youth sports;

·  Maintain a first class organization and operation which attracts great families of dedicated participants;

·  Provide a healthy environment for players & families; Promote team unity & family participation;

·  Instill the values of education and teach sportsmanship & discipline.

·  A volunteer’s responsibility is to be an ambassador for the SYFA and the local community for the sport of football and cheer.

I, the undersigned, authorize and give consent for the SYFA Cougars Football organization to obtain information regarding myself. This includes the following: Criminal Background Check, Training/Education and Personal References. I, the undersigned, authorize this information to be obtained either in writing or via telephone in connection with my volunteer application

Signature: ______Date: ______

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