Volunteer Coach Application
If you are planning to coach in Jr. NBA 2020 with Tullahoma Parks and Recreation, please complete this form in it's entirety and submit. Priority will be given to returning coaches or parents with a child on the team who wants to coach. We will have a coach meeting on Monday, November 16th at 6:30pm at D.W. Wilson Community Center to finalize details. Please make every effort to attend that meeting.
Street Address Line 2
State / Province
Postal / Zip Code
E-mail (this will be the primary method of contact)
Have you coached Jr. NBA with us before?
If yes, what team name did you coach?
Do you want to keep that team name again this year? (Previous coaches have first right of refusal if you want to keep the same team or switch to a different team name)
Yes, keep the same name
No, I want to change the name
I have not coached here before. Below are the team names I'd like to have.
Please put in your top four choices of team names you'd like to have. We will do our best to get you your first choice if it is not already taken.
(Remember: previous coaches have first right of refusal on keeping or changing team names)
Background Check Information Release
This information is required for background check purposes. All coaching positions that involve youth are subject to a check. This information will be kept confidential and secure. If you would rather complete a release form in person instead of online, a form can be emailed to you for printing or you can pick one up from D.W. Wilson Center from the Program office.
Please list any previous names you are known by:
Please tell us your birth date:
Please tell us your race:
Please tell us your gender:
Please enter your Driver License or State ID number:
What State issued your ID?
What is your Social Security number?
Required for background checks. This information will be kept confidential.
I hereby authorize the City of Tullahoma to request and receive any and all background information about or concerning me, including but not limited to, criminal convictions, driving records, employment history, educational background and professional licenses.I further release and discharge the City of Tullahoma and its elected or appointed officials, agents and employees, from any and all claims and liability arising out of any request for information or records pursuant to this authorization. I understand that I have the right to make written request within a reasonable period of time to the City of Tullahoma for additional information concerning the nature and scope of investigation. I acknowledge that I have voluntarily provided the above information for youth coaching purposes, and I have carefully read and understand this release.
Please enter today's date:
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