Nampa Babe Ruth, Inc. AWS
1 Division Applying For: ____________________ Head Coach: Yes/ No Assistant Coach: Yes / No Shirt Size : ___________
www.nampababeruth .com
Nampa Babe Ruth, Inc. Coach Information Renewal Form
Your volunteer participation with Nampa Babe Ruth as a Coach is greatly appreciated. Please complete the information below and return it to NBR. All information submitted to NBR is confidential and will not be disseminated into the public domain.
First Name ___________________________ ___________________________
Middle
Initial
__________
Last
Name
Home Phone _________________ Work Phone __________________ Cell Phone ______________________ Address _______________________________________ City______________ State_______ Zip__________ Email Address ___________________________________________________
I ____________________________________ certify that I have completed a Nampa Babe Ruth Coach Information Form/Background Check Authorization within the last three years. I certify that I have not been arrested for a sex offense, domestic assault/battery, child endangerment, any crime with a child present, drug manufacturing, trafficking or possession with intent to deliver. Circle one: YES NO Marking NO or omitting information it will automatically disqualify the applicate for a position with our league. You may choose to appeal this decision to the Board of Directors.
My signature indicates the information given on this form to be true and accurate; it also authorizes Nampa Babe Ruth, Inc. to request and receive background records; both public or private, and including those which may be deemed to be privileged or confidential in nature from IntelliCorp Records, Inc. and any duly authorized agent of IntelliCorp Records, Inc. I certify that I have made true, correct, and complete answers and statements on my application, any supplements to it and in any interview in the knowledge that they will be relied upon in considering my application and/or would be vital to Nampa Babe Ruth’s pledge to provide a safe and healthy environment for youth participants.
____________________________ Signature
____________________ Date
2
Agreement and Release of Liability Waiver Read Carefully- This affects your legal rights.
In exchange for participation in sanctioned and/or non-sanctioned League activities directly and/or indirectly associated and/or organized by Nampa Babe Ruth League, Inc. and/or its affiliated entities and their respective employees, agents, officers, directors, assigns and affiliated organizations of Nampa Babe Ruth League, Inc. of Idaho and/or use of the property, facilities and services of Nampa Babe Ruth League, Inc. I agree for myself and (if applicable) for members of my family to the following: I agree to observe and obey all posted rules and warnings, and further agree to follow any oral and/or written rules, instructions or directions given by Nampa Babe Ruth League, Inc., or the employees, representatives or agents of Nampa Babe Ruth League, Inc. I recognize that there are certain inherent risks associated with the above described activity and I assume full responsibility for personal injury and/or death to myself and (if applicable) my family members, and further release and discharge Nampa Babe Ruth League, Inc. for injury, loss or damage arising out of my or my family’s use of or presence upon the facilities and/or functions of Nampa Babe Ruth League, Inc., whether caused by the fault of myself, my family, Nampa Babe Ruth League, Inc. or other third parties. I agree to indemnify and defend Nampa Babe Ruth League, Inc. against all claims, causes of action, damages, judgments, costs or expenses, including attorney fees and other litigation costs, which may in any way arise from my or my family’s use of or presence upon the facilities and/or functions of Nampa Babe Ruth League, Inc. Any legal or equitable claim that may arise from participation in the above shall be resolved under Idaho Law. I have carefully read this agreement and fully understand its contents. I am aware that this is a release of liability and a contract between myself, Nampa Babe Ruth League, Inc. and their respective employees, agents, officers, directors, assigns and affiliated organizations and sign it of my own free will. By signing below, I, as the participant acknowledge release and waiver of any and all potential claims against the above noted parties. I further acknowledge that by signing this release, I voluntarily surrender certain legal rights. ******* Volunteer’s that are Minor Children******** By signing below, I, as the participant or legal authorized agent on behalf of Minors Name: , acknowledge release and waiver of any and all potential claims against the above noted parties. I further acknowledge that by signing this release, I voluntarily surrender certain legal rights.
Dated: Signature:
Printed Name: ________________________________
11/15
www.nampababeruth .com
Nampa Babe Ruth, Inc. Coach Information Renewal Form
Your volunteer participation with Nampa Babe Ruth as a Coach is greatly appreciated. Please complete the information below and return it to NBR. All information submitted to NBR is confidential and will not be disseminated into the public domain.
First Name ___________________________ ___________________________
Middle
Initial
__________
Last
Name
Home Phone _________________ Work Phone __________________ Cell Phone ______________________ Address _______________________________________ City______________ State_______ Zip__________ Email Address ___________________________________________________
I ____________________________________ certify that I have completed a Nampa Babe Ruth Coach Information Form/Background Check Authorization within the last three years. I certify that I have not been arrested for a sex offense, domestic assault/battery, child endangerment, any crime with a child present, drug manufacturing, trafficking or possession with intent to deliver. Circle one: YES NO Marking NO or omitting information it will automatically disqualify the applicate for a position with our league. You may choose to appeal this decision to the Board of Directors.
My signature indicates the information given on this form to be true and accurate; it also authorizes Nampa Babe Ruth, Inc. to request and receive background records; both public or private, and including those which may be deemed to be privileged or confidential in nature from IntelliCorp Records, Inc. and any duly authorized agent of IntelliCorp Records, Inc. I certify that I have made true, correct, and complete answers and statements on my application, any supplements to it and in any interview in the knowledge that they will be relied upon in considering my application and/or would be vital to Nampa Babe Ruth’s pledge to provide a safe and healthy environment for youth participants.
____________________________ Signature
____________________ Date
2
Agreement and Release of Liability Waiver Read Carefully- This affects your legal rights.
In exchange for participation in sanctioned and/or non-sanctioned League activities directly and/or indirectly associated and/or organized by Nampa Babe Ruth League, Inc. and/or its affiliated entities and their respective employees, agents, officers, directors, assigns and affiliated organizations of Nampa Babe Ruth League, Inc. of Idaho and/or use of the property, facilities and services of Nampa Babe Ruth League, Inc. I agree for myself and (if applicable) for members of my family to the following: I agree to observe and obey all posted rules and warnings, and further agree to follow any oral and/or written rules, instructions or directions given by Nampa Babe Ruth League, Inc., or the employees, representatives or agents of Nampa Babe Ruth League, Inc. I recognize that there are certain inherent risks associated with the above described activity and I assume full responsibility for personal injury and/or death to myself and (if applicable) my family members, and further release and discharge Nampa Babe Ruth League, Inc. for injury, loss or damage arising out of my or my family’s use of or presence upon the facilities and/or functions of Nampa Babe Ruth League, Inc., whether caused by the fault of myself, my family, Nampa Babe Ruth League, Inc. or other third parties. I agree to indemnify and defend Nampa Babe Ruth League, Inc. against all claims, causes of action, damages, judgments, costs or expenses, including attorney fees and other litigation costs, which may in any way arise from my or my family’s use of or presence upon the facilities and/or functions of Nampa Babe Ruth League, Inc. Any legal or equitable claim that may arise from participation in the above shall be resolved under Idaho Law. I have carefully read this agreement and fully understand its contents. I am aware that this is a release of liability and a contract between myself, Nampa Babe Ruth League, Inc. and their respective employees, agents, officers, directors, assigns and affiliated organizations and sign it of my own free will. By signing below, I, as the participant acknowledge release and waiver of any and all potential claims against the above noted parties. I further acknowledge that by signing this release, I voluntarily surrender certain legal rights. ******* Volunteer’s that are Minor Children******** By signing below, I, as the participant or legal authorized agent on behalf of Minors Name: , acknowledge release and waiver of any and all potential claims against the above noted parties. I further acknowledge that by signing this release, I voluntarily surrender certain legal rights.
Dated: Signature:
Printed Name: ________________________________
11/15
