Volunteer Application
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Last Name
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First Name
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Date of Birth
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DD
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Shirt Size *
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Sport
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Address
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Phone Number (Ex. 123-456-7890)
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Email
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Primary Position
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Secondary Position
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Team
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Have you ever been convicted of a crime relating to, directly or indirectly, child abuse or sexual deviancy?
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Have you ever been convicted of any other crime(s)? (Traffic violations notwithstanding)
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Background Check: As a condition of volunteering, I give permission to the La Vernia Grizzlies Youth Sports Association (LVGYSA) and/or Tackle Youth Football & Cheer Association (TYFA), to conduct a background check. I understand if appointed, my position may be conditional upon a satisfactory result of this check. I understand that no applicant will be denied volunteer status solely on the grounds of conviction of a crime with the exception of relating to child abuse or a crime of a sexual nature. All other offenses will be considered by the nature, the date, the circumstances, and the relevancy of the offense.
I further understand that all information gathered will be securely held until the end of my tenure as a volunteer at which point it will be destroyed. If I provide fraudulent information with the intent to deceive LVGYSA, and/or TYFA that will be grounds for immediate dismissal and/or disqualification from any volunteer position.

Explain "Yes" Answers
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 I Certify the Above Information is Correct and Consent to the Volunteer Requirement

Signature:
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