Whitemarsh Youth Boys Basketball League

Coach/Assistant Application 2007-08

Name: __________________________________________________________

Address: ________________________________________________________

________________________________________________________________

Home Phone: _________________ Cell Phone: _______________________

E-Mail Address: __________________________________________________

Please check one: Head Coach; ____ Assistant Coach: _____

Division: (Please check one division: if more than one please fill out another application)

6-7 _____ 8-9 _____ 10-11 _____ 12-13 _____ 14-17 _____

Upon approval by the Whitemarsh Youth Basketball League (WYBL) governing body to coach/assist, I agree to uphold the League rules, regulations, and standards of sportsmanship, integrity, instruction, and safety for all participants and property. I will do my best to be available for all practices and games, and league meetings. I will support the ideals of community basketball by instructing team participants in a respectful manner, and will abide by all playing time rules. I understand that abuse of referees, other coaches and league officials, or participants WILL NOT be tolerated, and I may be dismissed by the decision of the WYBL governing body. I agree to coach/assist to improve the skills of all participants and that “winning” will be secondary to that endeavor. I understand the spirit of fair competition and will strive to be an example for all to emulate and by doing so will achieve a Championship Season.

I do hereby release the WYBL, their boards, officers, employees, teams, coaches, other volunteers and referees and organizations/entities where games, practices or scrimmages are held, as well as any organization that holds a tournament or travel team game my that I coach in (all together the “Released Parties”) from any claims arising from personal injury, no matter how caused, which may occur from my WYBL activities. In addition, I hereby waive any claims, suits, actions, or causes against Released Parties for any injury, no matter how caused, which I may incur or suffer, during my WYBL activities. I further agree to indemnify and hold forever harmless the Released Parties against all losses , including counsel fees and court costs, from any and all claims made against it by any party as a result of my actions, negligent or intentional which may result in injury or loss to another participant, spectator or other person.

**********Mandatory**********

To help ensure the protection of our children commissioners, coaches, assistants and anyone associated with WYBL participants must obtain a Pennsylvania Access To Criminal History (PATCH) Certification. Please log on to epatch.state.pa.us and submit a New Record Check and follow the prompts. There will be a $10.00 credit card fee associated with the application. After completion please e-mail your league commissioner your Record Check Certification prior to draft night.

Your signature below indicates your affirmation and acceptance of the above.

Signature Date

Thank you for volunteering your valuable time!