Tribe Baseball Club
COACH’S APPLICATION
Coach’s information (Please circle One):Head CoachAssistant Coach
(Circle Team in which you’re interested in managing or coaching)U7 U8 U9 U10 U11U12 U13U14 U15 U16 U17
Name:______Child’s Name: ______
Child’s Age as of May 1st, 201( )______
Address: ______
(H) ______(W) ______Cell ______
Email ______
Do you have a Manager or assistant coachwith whom you wish to coach with? Yes ______No ______
Is yes, his/her name(s): ______
His/her child’s name(s): ______
List your coaching experiences. (Include years, organizations, divisions): ______
I, UNDERSIGNED APPLICANT FOR MANAGER/COACH, DO HEREBY ACKNOWLEDGE AND UNDERSTAND THE FOLLOWING REQUIREMENTS AND RESPONSIBILITIES OF MANAGERS AND COACHES IN THE Tribe Baseball Club AND AGREE TO ABIDE BY THESE REQUIREMENTS AND ALL OTHERS THAT MAY BE ENACTED BY THE Tribe Baseball Club.
1. Coach’s will be responsible for the sportsmanship of his/her players and their parents and
ensure that they are aware of Tribe Baseball Clubs zero tolerance policy.
2. Coach’s will be responsible for adherence to all rules, including those concerning
sportsmanship and player participation and Tribe Baseball Clubs zero tolerance policy.
Signature: ______Date: ______
CRIMINAL HISTORY REPORT for Coach Positions
Tribe Baseball Club is authorized by to perform criminal history record checks on applicants for volunteer positions with with our club. Pursuant to this authority, the Tribe Baseball Club must obtain the following information to perform a criminal history record check. This information will be used only for the purposes of obtaining a criminal history record from the Wisconsin Department of Public Safety or other appropriate federal, state, or local agency. The Tribe Baseball Club will consider your relevant criminal conviction record in determining your eligibility for a volunteer position with the league.
Name: ______Date of Birth: ______
(Last, First, Middle) (Month/Day/Year)
Sex: Male ______Female ______Race: ______
Social Security Number: ______WI Driver’s License Number: ______
I understand the purposes for which the above information will be used, and I have voluntarily provided such information to the Tribe Baseball Club to be used for all authorized purposes. I hereby request and authorize the Tribe Baseball Club, acting through any of its officers, employees, volunteers, and agents to use the information provided by me on this form for performing a criminal history record check on me. I understand and agree that the results of the criminal history record check will be used to assist the Tribe Baseball Club in determining my eligibility for a volunteer position with the club team. I hereby release the Tribe Baseball Club and its officers, employees, volunteers, and agents from any and all liability which may or could result from furnishing the information requested above or from any subsequent use of such information in determining the eligibility for a volunteer position with the Tribe Baseball Club.
Signature: ______Date: ______
Printed Name: ______