Irp-cdn.multiscreensite.com



Watauga Jr. Athletic LeagueCoaches / Volunteer ApplicationAnd Disclosure StatementDate: ______________ Team: ______________________ Division: ______________________Name: _________________________________________Birth Date: _____________________Address: ______________________________________________________________________City: _____________________________________ State: ______ Zip: ___________________Home Phone: _______________ Work Phone: _______________ Other: __________________SS# __________________ Drivers License # __________________ Exp. Date: _____________Previous Address (if present is less than 5 years) : __________________________________________________________________________________________________________________________________Background in Youth Sports: ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Have you ever been convicted of a crime? __________If yes please explain: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________I hereby verify that the information provided is true and correct. I also agree to uphold and abide by the Watauga Jr. Athletic League Safe Kids Program and all other rules, regulations and decisions of the Watauga Jr. Athletic League rule book.Coaches Signature: ______________________________________ Date: __________________ ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download