CHSSA MS State Trusted Adult Form

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For the safety of our students, please tell us about the adults who will be working at this tournament on behalf of your team/student. Please complete a form for every adult who will be working with students, whether they are coaching, judging, or chaperoning.

School/Independent entry name: *

Name of coach/point of contact completing this form on behalf of school or independent entry. *

The trusted adult being described on this form is a: *

Coach

Judge

Parent

Other adult volunteer

This trusted adult's name is: *

The trusted adult's email and phone number are: *

I agree that this trusted adult is acting on behalf of my team/independent entry and verify that I am responsible for their conduct at this tournament. *

Yes

This trusted adult understands that, in compliance with COPPA, the Children's Online Privacy Protection Act, collecting or sharing personal information from students, inside or outside of round, is a violation of federal law. *

Yes

This trusted adult has read the CHSSA judging policies and tabroom procedures regarding student feedback and appropriate, professional commentary. *

Yes

I have provided this trusted adult with tournament resources in justice, equity, diversity, and inclusion, as well as the CHSSA tournament harassment policies and adjudication processes. *

Yes

I understand that by completing this form, I am accountable for the trusted adults on my roster. I verify that all the information is correct and complete. *

Yes

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