| COACHING
APPLICATION
PLEASE FILL OUT COMPLETELY
Tel: 337.721.3040, Fax: 337.721.3041 |
| NAME_________________________ |
AGE_____________ |
| SOCIAL
SECURITY NUMBER____________________ |
|
| MAILING
ADDRESS_______________________________________
_________________________________________________ |
|
| HOME
PHONE____________________________________ |
WORK
PHONE__________________ |
| YEAR
REQUESTED___________________ |
SPORT
REQUESTED____________ |
| LEAGUE
REQUESTED_________________ |
TEAM
REQUESTED____________ |
LIST
ANY CHILDREN YOU HAVE PARTICIPATING IN A
RECREATION SPORTS
PROGRAM, THEIR AGE, AND THE SPORTS THEY
PARTICIPATE IN:
| _________________________________________________________ |
| _________________________________________________________ |
| _________________________________________________________ |
| _________________________________________________________ |
|
| YES
____NO____I COACHED LAST YEAR |
(List
team &League)__________ |
| YES____NO___I
RETURNED THE EQUIPMENT PREVIOUSLY ISSUED FOR MY TEAM |
|
| YES____NO____I
HAVE BEEN CONVICTED OF A FELONY CRIME |
|
PERSONS REQUESTING TO COACH
A SULPHUR PARKS AND RECREATION TEAM FOR
THE FIRST TIME MUST LIST PREVIOUS COACHING
EXPERIENCE, ANY COACHING ORGANIZATIONS TO
WHICH THEY BELONG, AND ANY COACHING CLINICS
OR WORK-
SHOPS ATTENDED IN THE LAST THREE YEARS:
| _________________________________________________________ |
| _________________________________________________________ |
| _________________________________________________________ |
|
| I
do hereby certify that all information on this
form is correct and that Sulphur Parks &
Recreation (SPAR) and its paid and volunteer
workers will not be held responsible for any
injury while participating in the recreation
program at any facilities scheduled for use
by SPAR or during transportation to said facilities.
I further understand SPAR does not provide health
insurance coverage for accidents or injuries
that occur as a result of participation in or
use of its facilities. This release is valid
for all SPAR sponsored programs until revoked
in writing. I further understand that I have
applied for what is considered an at will volunteer
position and SPAR reserves the right to terminate
duties without cause. SPAR provides each team
with basic equipment that coaches are required
to return within one week of the end of the
season. SPAR does not provide any financial
assistance to individual teams and/or coaches.
Coaches are responsible for abiding by and enforcing
all rules and regulations in the Sports and
Facilities Manual. |
| |
|
| Signature___________________________ |
Date________________ |
