Tusky Valley Youth Baseball-Softball Association, Inc.

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2020 Coach's Application

Desired Position:

Desired Age Group:

* Adult Shirt Size:

* Fitted Hat Size:

First Name:

Last Name:

Date of Birth:

Mailing Address:

City:

State:

Zip Code:

Home Phone:

Work Phone:

Cell Phone:

E-mail Address:

Occupation:

Employer:

Reference #1:

Relationship:

Phone Number:

Reference #2:

Relationship:

Phone Number:

Do you have a valid drivers license?:

Drivers License Number:

State:

Have you ever been convicted of or plead guilty to any crime(s)?:

If yes, explain in full:

List coaching experience coaching youth sports:

Special certification (i.e. CPR, Medical, etc.):

Do you have child(ren) playing in TVBSA?:

Child's Name & Age:

Have you ever been refused participation in any other youth programs?:

If yes, explain in full:

As a condition of volunteering, I give my permission for the Bolivar Baseball/Softball Association (BBSA) to conduct a background check on me, which may include a review of sex offender registries, child abuse, and criminal history records. I understand that, if appointed, my position is conditional upon the league receiving no inappropriate information on my background. I hereby release and agree to hold harmless from liability the BBSA, the officers, employees and volunteers thereof, or any person or organization that may provide such information. I also understand that, regardless of previous appointments, BBSA is not obligated to appoint me to a volunteer position. If appointed, I understand that, prior to the expiration of my term, I am subject to suspension by the President and removal by the Board of Directors for violations of BBSA, Little League, American Softball Association, or any other governing body under which the teams play in, policies and principles.

Check to agree *

* Initials:

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2020 Coach's Application