Barnegat Basketball Club

* Volunteer Name:

I understand by applying as a volunteer coach I am consenting to a background check.

* Date of Birth:

* Social Security Number Required for Background Check:

* Address:

* Telephone:

* Email address:

* List Grade Interested In Coaching:

* If you are interested in coaching a particular player list the player name and grade:

* BBC Ethics:

CODE OF ETHICS- UPON SUBMISSION OF MY VOLUNTEER COACHING APPLICATION i AGREE TO THE FOLLOWING-

PLAYERS ARE REQUIRED TO REFRAIN FROM PHYSICAL VIOLENCE AT ALL TIMES DURING BBC PRACTICE, GAMES AND EVENTS. PLAYERS ARE REQUIRED TO REFRAIN FROM VERBAL ABUSE TO PLAYERS, COACHES, REFEREES, OFFICIALS AND SPECTATORS. FAILURE TO ADHERE TO THIS POLICY WILL RESULT IN SUSPENSION OR EXPLUSION FROM BBC BASKETBALL. THIS IS IN ADDITION TO POLICY 5 BEHAVIOR SANCTIONS ADOPTED SEPTEMBER 18,1998.

COACHES AND REFEREES ARE TO REFRAIN FROM PHYSICAL VIOLENCE AT ALL TIMES DURING BBC SCHOOL USE PERIODS INCLUDING BEFORE, DURING AND AFTER GAMES. COACHES AND REFEREES ARE TO REFRAIN FROM VERBAL ABUSE TO PLAYERS, COACHES, REFEREES, OFFICIALS AND SPECTATORS. COACHES ARE NOT TO INCITE SPECTATORS BY MANNER, ACTIONS OR VERBIAGE. FAILURE TO ADHERE TO THIS POLICY WILL RESULT IN SUSPENSION OR EXPULSION FROM BBC BASKETBALL. AN EXPULSION WILL REQUIRE THE OFFENDER TO PROVE THEY HAVE RECEIVED ANGER MANAGEMENT COUNSELING BEFORE BBC CONSIDERS THEIR RETURN.

SPECTATORS AND PARENTS AT ANY BBC EVENT INCLUDING PRACTICES AND GAMES ARE TO REFRAIN FROM PHYSICAL VIOLENCE AT ALL TIMES DURING BBC SCHOOL USE PERIODS BEFORE, DURING, AND AFTER GAMES OR PRACTICES. VERBAL ABUSE OF PLAYERS, COACHES AND REFEREES AND OFFICIALS WILL NOT BE TOLERATED. THIS IS IN ACCORDANCE WITH NEW JERSEY?S STATUTE ALLOWING THOSE WHO BREAK THESE RULES TO BE BANNED FROM EVENTS UNTIL THEY HAVE RECEIVED ANGER MANAGEMENT COUNSELING.

I UNDERSTAND THIS CODE OF ETHICS AND AGREE TO ABIDE BY IT.

* BBC Waiver:

BBC WAIVER-UPON SUBMISSION OF MY VOLUNTEER COACHING APPLICATION I AGREE TO THE FOLLOWING-

Release and Waiver of Liability and Indemnity Agreement

(Read Carefully Before Signing)

In consideration of being permitted to participate in any way in the Barnegat Basketball Club Program indicated below and/ or being permitted to enter for any purpose any restricted area (here in defined as any area where in admittance to the general public is prohibited), the parent(s) and/or legal guardian(s) of the minor participant named below agree:

1. The parent(s) and/or legal guardian(s) will instruct the minor participant that prior to participating in the below basketball activity

or event, he or she should inspect the facilities and equipment to be used, and if he or she believes anything is unsafe, the participant should immediately advise the officials of such condition and refuse to participate. I understand and agreed that, if at any time, I feel anything to be UNSAFE, I will immediately take all precautions to avoid the unsafe area and REFUSE TO PARTICIPATE further.

2. I/WE fully understand and acknowledge that:

(a) There are risks and dangers associated with participation in Barnegat Basketball Club events and activities which could result in bodily injury

partial and/or total disability, paralysis and death.

(b) The social and economic losses and/or damages, which could result from these risks and dangers described above, could be

severe.

(c) These risks and dangers may be caused by the action, inaction or negligence of the participant or the action, inaction or negligence of others, including, but not limited to, the Releasees named below.

(d) There may be other risks not known to us or are not reasonably foreseeable at his time.

3. I/WE accept and assume such risks and responsibility for the losses and/or damages following such injury, disability, paralysis or death, however caused and whether caused in whole or in part by the negligence of the Releasees named below.

4. I/WE HEREBY RELEASE, WAIVE, DISCHARGE AND COVENANT NOT TO SUE the Barnegat Basketball Club and the Barnegat Board of Education school facility used by the participant,

including its owners, managers, promoters, lessees of premises used to conduct the basketball event or program, premises and event

inspectors, underwriters, consultants and others who give recommendations, directions, or instructions to engage in risk evaluation or

loss control activities regarding the Barnegat Basketball Club and the Barnegat Board of Education school facility or events held at such facility and each of them, their directors, officers, agents,

employees, all for the purposes herein referred to as "Releasee"...FROM ALL LIABILITY TO THE UNDERSIGNED, my/our personal representatives, assigns, executors, heirs and next to kin FOR ANY AND ALL CLAIMS, DEMANDS, LOSSES OR DAMAGES AND ANY CLAIMS OR DEMANDS THEREFORE ON ACCOUNT OF ANY INJURY, INCLUDING BUT NOT LIMITED TO THE DEATH OF THE PARTICIPANT OR DAMAGE TO PROPERTY, ARISING OUT OF OR RELATING TO THE EVENT(S) CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE RELEASEE OR OTHERWISE.

5. I/WE HEREBY acknowledge that THE ACTIVITIES OF THE EVENT(S) ARE VERY DANGEROUS and involve the risk of serious injury and/or death and/or property damage. Each of THE UNDERSIGNED also expressly acknowledges that INJURIES RECEIVED MAY BE COMPOUNDED OR INCREASED BY NEGLIGENT RESCUE OPERATIONS OR PROCEDURES OF THE RELEASEES.

6. EACH OF THE UNDERSIGNED further expressly agrees that the foregoing release, waiver, and indemnity agreement is intended to be as broad and inclusive as is permitted by the law of the Province or State in which the event is conducted and that if any portion is held invalid, it is agreed that the balance shall, notwithstanding continue in full legal force and effect.

7. On behalf of the participant and individually, the undersigned partner(s) and/or legal guardian(s) for the minor participant executes this Waiver and Release. If, despite this release, the participant makes a claim against any of the Releasees, the parent(s) and/or legal guardian(s) will reimburse the Releasee for any money which they have paid to the participant, or on his behalf, and hold them harmless.

I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY AGREEING TO IT, AND HAVE AGREED TO IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT, ASSURANCE, OR GUARANTEE BEING MADE TO ME AND INTEND BY THE SUBMISSION OF MY VOLUNTEER COACHING APPLICATION TO THE COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW.

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Coach Application