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Coach's Agreement
*
Indicates required field
Name
*
First
Last
Home or Cell Phone Number
*
Street
*
City, St., Zip
*
Date of Birth
*
As a volunteer working with children, ALL coaches must be Safeguarding Certified. This involves a one time class and a background check every five years.
Access the Archdiocesan Safeguarding site to sign up for the class and authorize your initial background check
HERE
.
When our records show a 5 year check is necessary, you will be contacted for the information by your sport coordinator.
Coaching Experience:
Volleyball?
*
Yes
Basketball?
*
Yes
Track?
*
Yes
Other, please describe:
*
Volleyball Coaching Dates:
*
Basketball Coaching Dates:
*
Track Coaching Dates:
*
Other Coaching Dates:
*
Are you certified as a coach or referee in any other sport?
*
Yes
No
If Yes, What and When?
*
Have you undertaken a "coaching" seminar or course?
*
Yes
No
If Yes, Where and When?
*
Do you maintain a valid Wisc. Driver's License?
*
Yes
No
License #:
*
Have you incurred any citations in the past three years?
*
Yes
No
If yes, what & when?
*
Are you First-aid CPR/AED certified?
*
Yes
No
Have you ever been convicted of, plead guilty to, or nolo contendere to an offense (including felony, misdemeanor or municipal ordinance) or are you now subject to a pending criminal charge?
*
Yes
No
If yes, describe in detail.
*
I wish to participate in the sport(s) identified above as a coach or coaches' assistant . I have reviewed the Archdiocesan rules and regulations for the previously mentioned sport(s) and agree to abide by them.
I certify that the information provided by me above is true and complete to the best of my knowledge. I understand that if I am accepted as a coach, any false statements or omissions may lead to termination of my duties, and I agree that the parish/school shall not be held liable in any respect if my volunteer assignment is terminated for this reason.
I authorize the parish/school to verify the information stated above by means of a criminal records check. I agree to follow the policies of the Archdiocese and the parish/school, and I pledge to join with the church in its efforts to provide a safe and secure environment for our children and youth.
I have read, understand, and agree to the above statement.
*
Yes
No
Date (mm/dd/yyyy)
*
Continue to Coach's Sportsmanship Pledge
Home
Calendars
Mass Schedule
Weekly Bulletin
Update My Information
Contact Us
Grow with Us
>
Our History
About Us
>
Parish Staff
Our Parish School
Our Ministries
>
For Kids
For Teens
For Adults
>
Visitation Speaker Series
Resources
Pray with us
Mass Times
Perpetual Adoration
Sacraments
Devotions
Funerals
>
Funeral Readings
Funeral Music
St. Mary's Cemetery
Serve with Us
Parish Calendars
Human Concerns
>
Respect Life
Prayer Request
Leadership
Music Ministry
Liturgical Ministries
Thrift Shop
Christian Women
Stewardship
Support our Parish
Make a Donation
Mass Intentions
Our Parish School
About our school
>
What sets us apart
Photo gallery
Curriculum
Tours, Tuition and admissions
In the News
School Calendar
Our School Staff
For Parents
For Students
Support Our School
After School Care
Athletics