GFA 'C' Diploma Course

GFA 'C' DIPLOMA COURSE - Application

The GFA 'C' Diploma will be conducted in a four part workshop. The course will involve the facilitation of learning opportunities for the coach to develop an understanding of the coaching process. Participants will apply the knowledge gained on the course in their club or school environments prior to delivering a practical session at their respective club or school for assessment.
Course Duration:

The GFA 'C' Diploma entails a minimum of four months and a maximum of six months of work:

Course Dates:

Part 1 | August 19-21

Part 2 | August 26-28

Part 3 | Work Experience

Part 4 | November 18-20

Licence Validity: The GFA 'C' Licence is valid for three (3) consecutive years, dated from the year that they completed. In order to revalidate their Coaching Licence beyond the 3-year period, the licenced coaches are required to complete the requirements of the Renewal Process within the 3-year period of validity.

Prerequisite: Coaches must have a GFA 'D' Certificate.

*Former or Current U20 (18 years and older) – Senior National Team players can take part in the GFA 'C' Diploma Course if they have been in the program for more than two years.

Deadline To Submit: JULY 31, 2022

Course Requirements

Playing Experience (supporting CV)

Fitness Status

• Physically fit - All participants will be involved in all court sessions, be preared to build your fitness before course date.

• Medically fit - Should you have any prexisitng condition please notify course coordinator

• Full Course attendance - Attendance is MANDATORY

• Minimum age to register is 18 years and older

• Participant Behavior
- Integrity
- Credibility
- Commitment
• Coaching Capacity

• Literacy (Read & Write)
Participant Full Name/Name on Passport *

First Name - ALL CAPS Middle Name - ALL CAPS Last Name - ALL CAPS
Gender *

Female Male
Date of Birth *

Month Day Year
Date
Birthplace
Example: Guam Memorial Hospital, Tamuning, Guam
Home Phone Number

Area Code Phone Number
Mobile Number

Area Code Phone Number
E-mail *
example@example.com
Note
If no phone, type N/A in box above
Headshot Submission *

Browse Files
Please submit a front portrait picture with a white background Cancel of
Player/Coaches CV

Browse Files
If you do not have a CV please fill out the below Cancel of

Playing Experience

	Team	League	Recreational/Competitive	Year
1st
2nd
3rd
4th
5th

Coaching Experience

	Team	League	Recreational/Competitive	Year
1st
2nd
3rd
4th
5th

Have you been vaccinated?

	Shot	First Dose	Second Dose	Year	No Vaccine
Vaccine

School Attending
If none type in N/A
Occupation
If non type in N/A
Club
If none type in N/A
Emergency Contact Information
Parent/ 1st Guardian Name

Prefix First Name Last Name
Email
example@example.com
Home Phone Number

Area Code Phone Number
Mobile Number

Area Code Phone Number
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Participant Signature (if 18 years old or above)

Parent/ Guardian Signature if Participant is under 18 years old. Clear
Release of Liability Waiver Form

RELEASE, ASSIGNMENT OF RIGHTS AND APPOINTMENT OF AUTHORITY FOR MEDICAL TREATMENT
In consideration of the permission granted to ME/MY CHILD, by the Guam Football Association (GFA) and/ or its affiliate organizations to participate in GFA activities, I hereby release and discharge GFA, its clubs, representatives, officials, coaches, agents, employees, officers, successors, sponsors and assigns, from all claims, demands, actions, judgments, and executions, which the undersigned ever had, now has, or may have, for which the undersigned heirs, executors, administrators, or assigns, may have or claim to have against GFA, its clubs, representatives, officials, coaches, agents, employees, officers, successors, sponsors, and assigns, for all personal injuries, whether known or unknown, caused by, or arising out of, GFA sponsored sports activities. Further, in case of a medical emergency, I cannot be contacted; I hereby authorize personnel associated with GFA to render first aid and/ or transport me/my child to a hospital or emergency medical facility for treatment. Additionally, I grant GFA, its clubs, representatives, officials, coaches, agents, employees, officers, successors, sponsors and assigns, to insert pictures or video of myself, my child/ren, or ward in GFA's website and other promotional material not limited to any form of media related to the sport of football. These photos or videos may be images of my child/ren, ward, or myself.
Participant Signature (if 18 years old or above) *

Parent/ Guardian Signature if under 18 years old. Clear
Date *

Month Day Year
Date
COVID-19 WAIVER OF LIABILITY AND INDEMNIFICATION

NOTICE OF ENTRY UPON PREMISES AT OWN RISK, CONDITIONAL ENTRY SUBJECT TO IMMEDIATE TERMINATION AT ANY TIME
·         Due to the 2019-2020 outbreak of the novel Coronavirus (COVID-19), Guam Football Association (GFA) is taking extra precautions with the care of every athletes and personnel to include health status and enhanced sanitation/disinfection procedures in accordance with the Department of Public Health and Social Services, CDC, Guam’s Road to Recovery (Government of Guam) guidance. However, GFA understands that it cannot assure or represent that any precautionary conditions can assure your individual health. Therefore, you are specifically warned that your entry onto the premises of GFA is a voluntary act and that you do so under implied waiver of any and all liability of GFA, its officers, employees, attorneys, representatives, visitors, associates, or any other characterization of any other person or entity who or which may be upon the premises of GFA at the time of your entry onto the premises of GFA. To memorialize this waiver further, but not in any manner limiting this waiver, GFA provides the following notices and requires that this document be signed, however, the failure to sign this document, to read its content or any other defense to the enforcement of the waiver voluntarily entered into by your entry upon the premises, does not affect this waiver. YOU ENTER UPON THE PREMISES OF GUAM FOOTBALL ASSOCIATION AT YOUR OWN RISK AND ARE ADVISED TO TAKE SUCH PRECAUTIONS AS NECESSARY FOR YOUR SAFETY AS YOU DEEM APPROPRIATE AND AS PERMITTED BY GUAM FOOTBALL ASSOCIATION. GFA retains the legal right to expel anyone from its premises at any time as GFA may deem desirable, whether or not a truthful and executed waiver has been provided to secure conditional admission onto GFA premises.

Because GFA desires to protect entrants upon its premises, while denying any duty or legal obligation to do so, from any health exposure, GFA requires that you READ AND COMPLETE the disclosure and waiver below.

·         Any individual with respiratory symptoms should be considered a possible case of COVID-19. All customer/athletes and personnel must be made aware not to attend GFA events, meetings or training if they are unwell with any of the following symptoms, even if only mild:

·         Cough

·         Sore throat

·         Fatigue

·         Fever (e.g. night sweats or chills)

·         Difficulty Breathing/shortness of breath

I agree to the following:
I understand the above symptoms and affirm that I, as well as all household members with COVID-19, do not currently have, nor have experience the symptoms listed above WITHIN THE LAST 14 DAYS. *
Initials
I affirm that I, as well as all household members, have not knowingly been exposed to anyone diagnosed with COVID-19 WITHIN THE PAST 30 DAYS. *
Initials
I understand that GFA cannot be held liable for any exposure to the COVID-19 virus caused by misinformation on this form. *
Initials
·         GFA is following these enhanced procedures to prevent the spread of COVID-19:

·         Develop, educate and communicate Social Distancing policies to minimize risk to any person at GFA and optimize the health of the athletes and personnel;

·         Display markings/signs to remind any person entering/accessing GFA;

·         Each person required to wear mask except upon entry into pitch/grid during training;

·         Each person required to wash hands upon arrival and before leaving;

·         Educate and train all necessary protocols to ensure safety and practice good hygiene;

·         Prepayment for services available if person prefer contactless checkout;

·         All surfaces will be wiped thoroughly with high grade disinfectant before and after each session/visit.

By signing below I acknowledge and represent that I have read the foregoing Waiver of Liability, understand it and sign it voluntarily as my own free act and deed, including without limitation the Release of Liability and Indemnification requirements contained in this document; I am sufficiently informed about the risks involved in using the GFA facilities to decide whether to sign this document; no oral representations, statements, or inducements, apart from the foregoing written agreement, have been made; and I execute this document for full, adequate, and complete consideration fully intending to be bound by the same. I agree that this Wavier of Liability shall be governed by and construed in accordance with Guam law, and that if any of the provisions hereof are found to be unenforceable, the remainder shall be enforced as fully as possible and the unenforceable provision(s) shall be deemed modified to the limited extent required to permit enforcement of the Wavier of Liability as a whole. This waiver remains in effect until the Governor of Guam lifts all COVID-19 related mandates.

By signing below, I agree to each statement above and release GFA from any and all liability for the unintentional exposure or harm due to COVID-19.
Participant Signature *

Parent/ Guardian Signature if under 18 years old. Clear
Date *

Month Day Year
Date
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Should be Empty:

GFA 'C' DIPLOMA COURSE - Application

Emergency Contact Information

Release of Liability Waiver Form

COVID-19 WAIVER OF LIABILITY AND INDEMNIFICATION

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