Volunteers 2019-2020 Volunteer Registration Form 2019-2020 Season Volunteer – First and Last Name * Date of Birth * Address * Sex * Male Female Other Phone Number * Email * Previous Coaching Experience? * Where would you like to volunteer? * Small Ball U10 Boys U10 Girls U12 Boys U12 Girls U14 Boys U14 Girls U16 Boys U16/18 Girls U18 Boys Which position are you willing to fill? Head Coach Assistant Coach Team Manager Any of the above Liability Clause: PARENTS/GAURDIANS * Accept Decline I hereby release Express Basketball Association, its executive, coaches, agents and volunteers from any and all responsibility whatsoever for death or injury to myself whether caused by negligence or otherwise while playing basketball (indoor or outdoor) or being transported to or from a basketball game or practice. Photograph/Video Consent: PARENTS/GAURDIANS * Accept Decline I understand that photographs/video taken of myself by a member of Express Basketball Association may be used by Express Basketball in the promotion and celebration of our youth basketball club, its athletes and/or coaches. If you are human, leave this field blank. Submit
