Everman Youth Athletics - Coach & Volunteer Application

Your Name

First NameLast Name

Birth Date

Date

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email

example@example.com

Phone Number

Area CodePhone Number

Texas DL/ID Number

Social Security Number

Required in order to complete appropriate background check. The City of Everman does not share or disclose secure information.

Emergency Contacts

Please select which area interest you the most:

Why do you want to be a volunteer in this program?

Please tell us your other volunteering experiences.

What are your interests?

What are your skills?

ie. Graphic Design, Social Media

T-Shirt Size

Photographic & Volunteer Release I hereby acknowledge that the information given above is accurate and I give permission to the City of Everman for the use of my photographs that are taken by staff in order to use for social media. Furthermore, I authorize the City of Everman to conduct a complete criminal history check as a basis of my placement as a volunteer with the organization. I understand that I am to report any changes in my criminal history to the City of Everman.

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LIABILITY WAIVER

In return for being allowed to participate in City of Everman volunteer activities and all related activities, including any activities incidental to such participation (“Volunteer Activities”), the undersigned Volunteer or Parent/Legal Guardian of Volunteer if Volunteer is under age 18 (hereafter referred to using “I”, “me”, or “my”) releases and agrees not to sue the City of Everman or its officers, directors, employees, sub-contractors, sponsors, agents and affiliates (“the City”) from all present and future claims that may be made by me, my family, estate, heirs, or assigns for property damage, personal injury, or wrongful death arising as a result of my participation in the Volunteer Activities wherever, whenever, or however the same may occur.

I understand and agree that the City of Everman is not responsible for any injury or property damage arising out of the Volunteer Activities, even if caused by their ordinary negligence or otherwise.

I understand that participation in Volunteer Activities involves certain risks, including, but not limited to, serious injury and death. I am voluntarily participating in the Volunteer Activities with knowledge of the danger involved and I agree to accept all risks of participation.

I also agree to indemnify and hold harmless the City of Everman for all claims arising out of my participation in the Volunteer Activities.

I understand that this document is intended to be as broad and inclusive as permitted by the laws of the state in which the Volunteer Activities take place and agree that if any portion of this Agreement is invalid, the remainder will continue in full legal force and effect.

I also acknowledge that the City of Evermanhas not arranged and does not carry any insurance of any kind for my benefit or that of Volunteer (if Volunteer is under 18), my parents, guardians, trustees, heirs, executors, administrators, successors, and assigns.

I represent that, to my knowledge, I am in good health and suffer no physical impairment that would or should prevent my participation in Volunteer Activities.

I also understand that this document is a contract that grants certain rights to and eliminates the liability of the City of Everman.

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BACKGROUND CHECK AUTHORIZATION

By signing below, I authorize the City of Everman, Texas, and its designated agents or third-party screening providers, to obtain a criminal background check and, where applicable, a sex offender registry check in connection with my application to serve as a volunteer with the City.

I understand and agree to the following:

Scope of Check. The background check may include a review of criminal history records at the local, state, and/or national level, including records maintained by the Texas Department of Public Safety (DPS) and the National Sex Offender Public Website (NSOPW).

Use of Information. Information obtained will be used solely to evaluate my suitability to serve as a City volunteer and will be kept confidential to the extent permitted by law.

Adverse Action. A criminal record does not automatically disqualify an applicant. The City will evaluate the nature of the offense, the time elapsed, and the relevance to the volunteer role. However, certain offenses — including but not limited to crimes against children, sexual offenses, or crimes of violence — may result in disqualification from roles involving vulnerable populations.

Accuracy of Information. I certify that all information provided on this form is true, complete, and accurate to the best of my knowledge. I understand that providing false or misleading information may result in the rejection of my application or removal from volunteer service.

Right to Review. I understand that I may request a copy of any background check report obtained and that I have the right to dispute inaccurate information in accordance with applicable law.

Consent. This authorization shall remain in effect for the duration of my volunteer service with the City of Everman and may be renewed periodically as determined by the City.

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Signature

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