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Bel Air Rec Girl's Basketball Program
.....Home of the Bel Air Wildcats

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If you have any comments or questions, please contact me directly: John Cooney @ getrealjohnc@verizon.net.

Bel Air Recreation Committee

2010-11 Girls Basketball Volunteer Application Form

All volunteers for the 2010-11 basketball season are required to fill out a Volunteer application form. All items are required to be filled out completely.

Background Verification Information
Because of a high level of contact with the public and in the interest of safety, we reserve the right to conduct official background checks when deemed necessary.

Certification
By submitting the Volunteer Application Form, I certify that I have electronically signed the form. I certify that the information that I have given on this form is true and correct under penalty of perjury. I also authorize the Bel Air Recreation Committee to conduct a background investigation and acknowledge that the results thereof will be kept confidential and not disclosed other than to the board.

Name: *
Address: *
Home Phone: *
Work Phone: *
Cell Phone: *
Date of Birth: *
email Address: *
Please list any experience or training that would be helpful in your position as a volunteer: *
Please list any past or current experiences with other volunteer organizations: *
Have you ever been convicted of a felony?: *
Have you ever had your license suspended?: *
If yes to either of the above , please explain:
Emergency contact name: *
Emergency contact relationship: *
Emergency Contact Phone #: *
Volunteer Coaching Position: *
Age Group: *
Age Group Commissioner: *
Comments( special requests, nights for practices, assistant coaches, etc.):