2026 Heartland Events Coaches Sign In Form

2026 Heartland Events Coaches Sign In Form

JVA Insured Coaches Sign In Form - Fill this form needs to be filled out ONE TIME for the entire season. This forms covers ALL Heartland Events located in Monticello, Big Lake, Princeton, Foley, and Pierz.
Club Name*
Team Name*
Example - Heartland Big Lake 14 Blue
Events Registered For: (select all that apply)

Heartland FreezeHeartland BlizzardPlayer Developmental League (PDL)Heartland PlaydateHeartland HEART TournamentMid-WinterBrown Legacy34th Annual Heartland Tournament
Age Level*
This tournament is insured by JVA. It is required that each member of the team has signed the JVA Insurance Waivers for Players & Staff electronically and that it can be accessed through the JVA registration. By signing this form, you are taking responsibility that everyone hascompleted the waiver.

If an individual is injured during participation in this event, it is the coach’s responsibility to secure a “JVA Incident Report” from the Tournament Director. The form should be completed and retained by the Tournament Director. It is advised that the coach keep a copy for the club records. Medical Claims for insurance coverage cannot be honored without an Incident Report form. A Medical Claim form can be requested via email at members@jvavolleyball.org.

By signing this form, you are taking responsibility that anyone on your bench is on your submitted roster. Also, you are agreeing that you have completed all requirements of the JVA Background Screen, JVA Safety Policy, and JVA Participation of Play guidelines. The coach and club assume responsibility to have access to the above-named forms at all times.
Coach (Last Name)*
Last
Name

First NameLast Name
Email*
example@example.com
Coaches Phone Number*
Please enter a valid phone number.
Signature*

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