2023 Young Bucs Boys Lacrosse Volunteer Assessment Form

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2023 Young Bucs Boys Lacrosse Volunteer Assessment Form

This assessment form is required for anyone looking to coach or volunteer with the Grand Haven Young Bucs Athletics, Inc. Lacrosse Program. If you have any questions please email us at ghlaxparent@gmail.com.

Name: (Last, First, Middle Initial): *

Other (Nickname, Surname, Maiden Name, etc.):

Date of Birth:
*

YYYY

Gender: *

Male

Female

Race: *

Caucasian

African American

Asian or Pacific Islander

American Indian or Alaskan Native

Hispanic

Unknown/Other

Street Address:
*

City/State/Zip:
*

Phone:
*

Email:
*

I have a child participating in the Grand Haven Young Bucs Athletics, Inc. Lacrosse Program.
*

Yes

If YES, please list the child’s name, grade, and your relationship to the child

If NO, please indicate your reason for wanting to volunteer with the Grand Haven Young Bucs Athletics, Inc. Lacrosse Program.

I understand that it is necessary to have a Michigan State Police background check done before I volunteer with the Grand Haven Young Bucs, Athletics, Inc. Lacrosse Program. I understand that the information submitted will remain confidential. I agree to allow designated individuals from the Grand Haven Young Bucs Athletics, Inc. Lacrosse Program to submit the above information to the Michigan State Police ICHAT (Internet Criminal History Access Tool) for review.

Please type your name as an electronic signature.

Today's Date *

YYYY

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