Activities-Only Participation Application

Activities-Only Participation Application

STEP 1
Eligibility and Admission of New Families
Application Process: New families interested in participating in COACH Rockwall Activities-only must submit a complete application and payment along with all requested documentation. Incomplete applications will not be processed.

Review and Decision: The COACH Rockwall team will review each application thoroughly and conduct reference checks. COACH Rockwall reserves the right to deny any application for any reason.

Background Checks
Safety Measures: COACH requires background checks of both parents/guardians to ensure the safety and integrity of the community. The background checks shall be completed timely and are paid for by the applicants.

PARENT/GUARDIAN INFORMATION
Parent/Guardian #1*

First NameMiddle NameLast Name
Your Role*
Parent/Guardian #1: Have you or anyone listed above ever used a different name (maiden or alias)? If so, specify the name.
Parent/Guardian #1: Upload a headshot photo of yourself. *

Browse Files

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Your Preferred Email*
example@example.com
Best Phone Number*
Parent/Guardian #1: Address*

Street Address

Street Address Line 2

CityState

Zip Code
Your birthday (Month)*
Your birthday (Day)*
Parent/Guardian #1: Are you a Christian?*

YesNo
Church You Attend:*
Church Phone Number*
Parent/Guardian #1: Please tell us about your salvation experience and your daily walk with Jesus Christ.*
Parent/Guardian #1: Types of activities you might be interested in participating in or helping plan?*
Parent/Guardian #1: How would you describe your personality?*
Parent/Guardian(s)*
Parent/Guardian #2*

First NameMiddle NameLast Name
Parent/Guardian #2: Role*
Parent/Guardian #2: Have you or anyone listed above ever used a different name (maiden or alias)? If so, specify the name.
Parent/Guardian #2: Upload a headshot photo of yourself*

Browse Files

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Parent/Guardian #2: Email*
example@example.com
Parent/Guardian #2: Phone*
Parent/Guardian #2: Address (Complete only if different from Parent/Guardian #1)

Street Address

Street Address Line 2

CityState

Zip Code
Parent/Guardian #2: Are you a Christian?*

YesNo
Church You Attend:*
Church Phone Number*
Parent/Guardian #2: Please tell us about your salvation experience and your daily walk with Jesus Christ.*

REFERENCES
Give three references. These people should have first-hand knowledge of your character, personality, and teaching ability.
Reference #1: Name*

First NameLast Name
Reference #1: Email*
example@example.com
Reference #1: Phone*
Reference #2: Name*

First NameLast Name
Reference #2: Email*
example@example.com
Reference #2: Phone*
Reference #3: Name*

First NameLast Name
Reference #3: Email*
example@example.com
Reference #3: Phone*
Additional References

Release of Liability, Waiver, and Assumption of Risk Agreement
This Release of Liability and Waiver (“Release”) is executed by the undersigned participant and/or parent/legal guardian (“Participant”) in favor of COACH Rockwall, a nonprofit organization operating under the laws of the State of Texas, its directors, officers, agents, representatives, volunteers, contractors, and vendors; and First United Methodist Church of Rockwall, its pastors, employees, members, and agents (collectively, the “Released Parties”).

COACH Rockwall organizes and conducts educational, recreational, and social programs, including but not limited to weekly co-op classes, performances, clubs, field trips, service projects, and other related activities (“Activities”).

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1. Waiver and Release

I, the undersigned, on behalf of myself and/or my minor child(ren), hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless the Released Parties from any and all liability, claims, demands, or causes of action of whatever kind or nature, in law or in equity, that may arise from my participation or my child(ren)’s participation in COACH Rockwall Activities, whether occurring on or off the premises of the Released Parties.

This waiver extends to all claims of bodily injury, illness, death, or property damage arising out of or related to participation in COACH Rockwall Activities, whether caused by negligence or otherwise.

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2. Insurance

I understand and agree that COACH Rockwall and the Released Parties do not provide health, medical, disability, or accident insurance coverage for me or my child(ren). Each Participant is expected and encouraged to obtain their own medical or health insurance coverage.

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3. Medical Treatment

I hereby consent to receive (or to allow my child(ren) to receive) emergency medical treatment deemed advisable during participation in Activities. I release and hold harmless the Released Parties from any claim arising out of first aid, treatment, or service rendered in connection with participation in Activities.

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4. Assumption of Risk

I understand and acknowledge that participation in Activities may involve risks, including but not limited to physical activity, sports, travel to and from Activities, interactions with animals, use of tools or equipment, and activities at private homes or public facilities. I voluntarily assume full responsibility for all risks of personal injury, illness, death, or property damage that may result from participation in such Activities.

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5. Indemnification

I agree to indemnify, defend, and hold harmless the Released Parties from any loss, liability, damage, or cost they may incur due to participation by myself or my child(ren) in Activities, whether caused by negligence of the Released Parties or otherwise.

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6. Governing Law and Severability

This Release shall be governed by and construed in accordance with the laws of the State of Texas. I expressly agree that this Release is intended to be as broad and inclusive as permitted by Texas law. If any portion of this Release is held invalid, the remaining provisions shall continue in full force and effect.

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7. Acknowledgment

I have read and fully understand this Release. I voluntarily sign it and agree that it shall remain effective for the duration of my affiliation with COACH Rockwall, including all future Activities, events, and programs, whether on or off site.

This waiver remains active as long as I am a member or affiliated with COACH Rockwall in any way.
Signature*

Clear
APPLICANT'S DECLARATION AUTHORIZATION AND RELEASE My answers on this application I provide are complete and true. I understand that the submission of any false or incomplete information in connection with my application, whether on this or other documents or in interviews, will be cause for the rejection of my application at any time. I authorize the COACH Rockwalland its agents to verify any information related to my application. I also authorize and direct individuals, schools, employers, and law enforcement or government officials to freely provide any information concerning my background, and hereby release any and all of them from any liability for doing so.

By signing, I also state that I believe and will compy with the COACH Rockwall Conduct and Policy Manual.
I agree that:*

I have read and I will abide by the COACH Rockwall Conduct and Policy Manual, which includes the Statement of Faith
Electronic Signature (your name)*
Date*

MonthDayYear
Date
How did you hear about us?
Have you toured COACH Rockwall?

YesNo
If you have toured COACH Rockwall, please provide the date you toured:
Date
STUDENT(S) INFORMATION
How many students will participate in the activities?
Participating Child(ren) Info*
Should be Empty: