OGJ Pop Warner Volunteer Form

Legal Name:

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Format: (000) 000-0000.

Email

example@example.com

Previous states resided in the past 5 years:

Birth Date

Date

Occupation

Employer

Employer Address

Do you have a valid driver's license?

Driver's License Number

State of Issue (DL)

Special professional training, skills, hobbies:

Community Affiliations (Clubs, Service Organizations, Etc.):

Prior/Current Volunteer Experience (e.g. baseball/softball and years):

Do you have children in the program?:

If yes, at what level?:

Special Certification (i.e. CPR, Medical, etc.):

Have you ever been charged or convicted of a felony?:

If yes, provide your current legal status (Parole, etc.):

Have you ever been convicted of any crime involving or against a minor?:

Have you ever been plead guilty to, been convicted of or involved with any other type of crime?:

Have you ever been refused participation in any other youth programs?:

If YES to ANY of the above, explain:

In which of the following would you like to participate? Check one or more:

Please provide three personal references:
Name: Name Reference One Nature of Relationship:   Relationship Ref. One
Phone:   Area Code   Phone Number
Name:   Name Reference Two   Nature of Relationship:   Relationship Ref. Two
Phone:   Area Code   Phone Number
Name:   Name Reference Three   Nature of Relationship:   Relationship Ref. Three
Phone:   Area Code   Phone Number

Privacy Policy: Your privacy is important to us. PWLS does not sell or release contact information to any non-affiliated organization. However, Pop Warner and its partners may contact you with essential program information as well as special offers and promotions. Please be advised that partners are not permitted to retain your information for non-Pop Warner use unless you specifically grant them permission. Please contact the PWLS National Office in writing for opt out information.

I hereby attest that all information provided on this application is true and complete. If I am accepted as a volunteer, Pop Warner may end the relationship immediately if I have made any false statements or material misrepresentations. As a condition of volunteering, I hereby grant permission for Pop Warner to conduct a background check on me, which may include a review of database records including but not limited to sex offender registries, child abuse and criminal history records, in compliance with Pop Warner's child protection policy. I understand and agree that, if appointed, my position is conditional upon the league receiving no inappropriate information on my background. I hereby release and agree to hold harmless from liability Pop Warner Little Scholars, Incorporated, its affiliated leagues and associations, the officers, employees and volunteers thereof, and/or any other person or organization that may provide such information.

I also understand that, regardless of previous appointments, Pop Warner is not obligated to appoint me to a volunteer position. I understand that, prior to the expiration of my term, I am subject to suspension by the President and removal by the Board of Directors for any and all violations of Pop Warner policies or principles. Furthermore, I hereby attest that all contact information provided herein is up to date and I hereby grant Pop Warner Little Scholars. Inc. and its partners permission to utilize such contact information for communications and promotions during my tenure as a volunteer.

Binding Arbitration Policy:

If appointed, I hereby understand and agree that any and all civil disputes by and between myself, Pop Warner and any and all affiliated parties will be subject to binding arbitration in the locale of the Pop Warner Little Scholars, Inc. National Office in Langhorne, PA in accordance with Pennsylvania law under the guidelines and rules of the American Arbitration Association. I hereby agree that this binding arbitration shall be in lieu of any litigation by and between myself, Pop Warner and any and all affiliated parties. If any portion of this application shall be deemed unenforceable or invalid, this arbitration agreement shall still remain in full force and effect.

Signature

Date

Pop Warner Officials

2026 Pop Warner Little Scholars, Inc