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Spring 2024 Coach/Volunteer Application
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Team Affiliation:
Head Coach
Assistant Coach
Volunteer Coach
Dugout Mom/Dad
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Age Division To Be Coached:
6u
8u
10u
12u
15u
Team Name Affiliated With:
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Coach Affiliated With:
COACH INFORMATION
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First Name:
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Last Name:
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Address:
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State:
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Zip Code:
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Email:
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Phone Number:
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Social Security Number:
Waiver of Liability Form
Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19
The novel coronavirus (“COVID-19”) has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people. Ponca City Junior Baseball Inc. (known as the PCJB) has put in place preventative measures to reduce the spread of COVID-19; however, cannot guarantee that you will not become infected with COVID-19. Further, attending any program or activity at any PCJB Sports Complex (Ponca City RecPlex and Dan Moran Baseball Fields) could increase your risk of contracting COVID-19.By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I may be exposed to or infected by COVID-19 while attending any PCJB Sports Complex and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at any PCJB Sports Complex may result from the actions, omissions, or negligence of myself and others, including, but not limited to, PCJB Sport Complex employees, volunteers, and program participants and their families. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I may experience or incur in connection with my attendance at any PCJB Sports Complex or (“Claims”). On my behalf, I hereby release, covenant not to sue, discharge, and hold harmless Ponca City Junior Baseball Inc., its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of Ponca City Junior Baseball Inc., its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after attending any PCJB Sports Complex program or activity.
PARENTAL CONSENT: I am the minor’s parent or guardian named above and I understand the nature of the Waiver of Liability above and verify and consent to the minor attending any PCJB Sports Complex. On the minor’s behalf, I hereby release, covenant not to sue, discharge, and hold harmless Ponca City Junior Baseball Inc., its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. On behalf of the minor, I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of Ponca City Junior Baseball Inc., its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after attending in any PCJB Sports Complex program or activity.
Interruption Waiver: Ponca City Junior Baseball Inc. has put in place measures to protect the organization from the effects of COVID-19. By signing this agreement, I acknowledge the contagious nature of COVID-19 and know that at any point before and during the given season federal, state, and local governments and federal and state health agencies can recommend the cancel, suspension, or discontinuation of the Ponca City Junior Baseball Inc. baseball season. In the event the season is canceled before the first game is played, PCJB will issue a credit to the participant. This credit will have a one year use by date that can be redeemed during the fall or spring seasons. In the event that baseball season is discontinued after games have been played, the player will not receive a credit and the sign-up fee will be collected by PCJB to offset the cost of insurance and other administrative fees.
These measures have been put in place to protect the players, coaches, and fans that attend any event at a PCJB Sports Complex.
By Checking This Box We Will Be Accepting An Acknowledgement of COVID 19 Waiver
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Fundraiser Information
I understand that the PCJB fundraiser is a requirement of every player that participates in PCJB. This fundraiser is in lieu of charging entry , team and tournament fees that PCJB would normally charge all season.
I understand the fundraiser is a requirement of every player. If the tickets are not sold by the ticket turn in date the player will not be allowed to participate in the end of season tournament.
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Code Of Ethics
It is understood that if accepted by Ponca City Junior Baseball, as a volunteer coach I will support and enforce the Code of Ethics:
1. To attend all meetings and rules clinics set up by PCJB prior to the beginning of each season.
2. I will promote team play that is safe, fun and enjoyable remembering that competition encourages cooperation, self discipline and motivation while enhancing the development of lasting traits. I will lead my team remembering that competition is a process for children to learn.
3. I will promote respect in one's self and others through good sportsmanship by emphasizing the development of cooperation and respectful behavior towards teammates, opponents, officials and coaches. I will help each child feel good about himself/herself.
4. I will promote responsibility in one's own life through encouraged participation and will emphasize that one's effort is more important than the final score.
5. I will promote sports fundamentals which are essential to enjoy the game. I will strive to develop each child's skills and abilities to the fullest potential.
In addition to the Code Of Ethics, I will also abide to the following rules:
1. I will return all issued equipment no later than 10 days following the last played game.
2. I will ensure that I am knowledgeable in the rules of the game and will teach these rules to my players.
3. I will seek approval from PCJB prior to any discipline or dismissal of any player because of misconduct or unexcused absences.
4. I will notify my players and/or parents of practice times and locations. I will also organize practices that are fun and challenging for all my players.
I understand the ethics and rules and that any violation of the said ethics and rules could result in losing my right to coach.
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I understand that I am under the direction of PCJB and its Rules and Policies and the PCJB staff.
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Due to the nature of the responsibilities and liabilities, it will be necessary for PCJB to perform a background check on volunteers for the protection and welfare of the program participants. The information given will be used for this purpose.
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I/we agree the information above is correct and current
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