Your Full Legal Name: Other Names (maiden, alias, etc.): Driver s License Number: State: Expires: / / Home Phone Number: Work Number: Cell Number:

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1 JUNIOR COACH APPLICATION To Be Completed By All Volunteers Including Coaches, Managers, Administrators, Etc. of The Sports Organizaton Who Have Regular Access To Or Repeated Contact With Athletes. I am applying for the following positonn Junior Coach under 18 years of age (Must be 3 years older than group applying for) Personal Informatonn Date of Completon of This Form: / / Your Full Legal Name: Date of Birth: / / Other Names (maiden, alias, etc.): Social Security Number: Driver s License Number: State: Expires: / / Home Phone Number: Work Number: Cell Number: Male/Female: address: Home Address: List all for the past 7 years Present (include dates): Previous (include dates): (Attach a separate sheet if additonal space is needed) Qualificatonsn Have you ever been convicted of a crime? : (if yes, explain) What positon on which team are you applying for? Football Bandit Maverick Renegade Freshman JV Varsity Collegiate OTHER

2 What is your coaching background, including your history with FYFL? Have you ever been refused partcipaton in any other youth sports programs? (If yes, explain) Do you have children in the program? If yes: Cheer or Football (circle all that apply) Why are you qualifed to coach, manage etc.? Are familiar with FYFL rules? Nevada High School Rules? FINANCIAL POLICYn The FYFL is a Non-Proft Organizaton that is exempt from Sales Tax. Individual teams, coaches, volunteers, and/or parents are not permitted to transact fnancially on behalf of the Fernley Youth Football League. Individuals or Companies that donate, or sponsor a porton of costs for league expenses may claim a tax deducton on the conditon that the money was: 1. Paid from the FYFL League Account (verifed funds) to a vendor, via accountng form. 2. Paid to the FYFL League Account from a Sponsor. Funds will be available afer 10 business days. Cash is not accepted. a. A Thank You letter will be mailed to each sponsor with the informaton necessary for the sponsor to Claim a tax deducton. FUNDRAISING POLICYn 3. Coaches, Volunteers, and Players are Members of FYFL and are not permitted to hold Team Fundraisers without the express written permission of the FYFL. 4. Each Head Coach is required to have one fundraiser for the league per season. These funds will be used to help facilitate the league through its season. TEAM MANAGER POLICYn 5. Each Head Coach will appoint a TEAM MANAGER who will work with the Treasurer to facilitate all team fnancial transactons appropriately. EQUIPMENT RETURN POLICYn 6. Head Coach will assist the EQUIMENT COORDINATOR in Equipment collecton within 10 days of the last game (to include playofs, or all-star game) of the players they are responsible for. a. The Head Coach will be fined up to e10e for each incomplete set of equipment (helmet, pads, pants, and girdle) unless they make 3 documented atempts (2 phone calls and 1 certfed letter) to collect the equipment. b. Afer 3 documented attempts to collect the equipment the coach is exempt from the fne and the Parent/Guardian will be sent to collectons for the applicable fee. c. The Head Coach is required to return al blocking dummies, pads, footballs, and other equipment assigned to them within 10 days of the last game for their season. 7. Each Cheer Head Coach will be issued a set of Pom Poms for each girl on their squad and will be responsible for turning them in to Cheer Coordinator within 10 days of the last game (to include playofs). a. Poms are to remain in coaching staf possession during the entre season and will be handed out for use at FYFL events and turned back in at the end of each the event.

3 b. Head Coach will be fined up to e3e for each incomplete or missing set of Pom Poms.

4 The FYFL Treasurer will make random checks with the Head Coach and the Team Managers to verify that fnancial transactons are within the guidelines of the league. If any FYFL Representatve is found non-compliant, then they will be subject to immediate terminaton, fned $1,000 and possible litgaton depending on the circumstances. THE LEAGUE WILL NOT BE RESPONSIBLE FOR ANY ITEMS PURCHASED, EXPENSES OR LIABILITES INCURRED WITHOUT THE TREASURER S PRIOR APPROVAL. Consent/ Release I authorize and give consent for the sports organizaton referenced above to obtain my personal informaton. This includes, but not limited to employment records/employer s references; criminal background records/informaton; criminal background checks/fngerprints; driving record check, fnancial bankruptcy Informaton, coaching experience, personal references, and addresses. I authorize this informaton to be obtained either in writng, via internet, or via telephone in connecton with my volunteer applicaton. I understand that my positon is contngent upon adverse informaton about my background or character not being uncovered upon the performance of the above referenced checks. I also understand that regardless of my prior volunteer actvites on behalf of the sports organizaton, that the sports organizaton is not required to allow my contnued partcipaton. I agree to hold harmless and indemnify from liability the sports organizaton and its directors, ofcers, employees, and volunteers from all liability arising out of the use of the informaton that is uncovered in the above referenced checks. I also adhere to the Financial, Fundraising, and Team Manager & Equipment Return Policies. Signature: Date: / / A copy of a valid government issued photo ID must be atached to complete this applicaton. For Sports Organizaton Use Only Background checks completed by Conduct Ofcial Date: Sources Checked: Authorized Not authorized (keep this form and the record check on fle for 15 years if not clean.

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