NebraskaDEVO 2024 Coaches
CONFIRMED COACHES Signup & Training Requirements Form for season needs, all locations
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Email *
What location are you coaching at? *
First & Last Name *
ALL COACHES
Shirt Size(Unisex T)
*
Level 2 & 3 Coaches ONLY section
Jersey Size(specify unisex or gendered)
Please Review Sizing Guide Here(copy/paste this in your browser) : https://jakroo.com/fit-and-sizing
*
Emergency Contact(Name & Phone) *
Coach Level *
Background Check Completed by copy/pasting in your browser:   http://tclogiq.com/omdevo
OR a NICA Sterling passed copy(send to site lead)
*
I have attended an On The Bike Skills(DEVO or NICA) training in the past 2 years *
Please follow this link, complete the quiz and forward certificate of completion to your site lead OR a NICA passed concussion course certification.
This is required by ALL coaches!!!
(Scroll down the page once you get into the link to watch the video please, Copy/paste the below into your browser)
https://www.sportsafety.com/#concussionwise
*
CPR/First Aid Certified(email a copy to your site lead) *
I acknowledge by signing this document, I am assuming risks, and agreeing to indemnify, not to sue and release from liability the organizer of the Nebraska DEVO practice sessions and their respective agents, employees, volunteers, members, clubs, sponsors, promoters and affiliates (collectively “Releasees”), and that I am giving up substantial legal rights. This release is a contract with legal and binding consequences and it applies to all Nebraska DEVO practice sessions. I have read it carefully before signing and I understand what it means and what I am agreeing to by signing. I hereby freely agree to and make the following contractual representations and agreements: I acknowledge that mountain biking and cycling are inherently dangerous sports and fully realize the dangers of participating in these practice sessions and fully assume the risks associated with such participation including, by way of example, and not limitation: dangers associated with man made and natural jumps; the dangers of collision with pedestrians, observers, vehicles, other riders, and fixed or moving objects; the dangers arising from surface hazards, including holes, equipment failure, inadequate safety equipment, use of equipment or materials provided by the event organizer and others, the Releasees' own negligence, the negligence of others and weather conditions and the possibility of serious physical and/or mental trauma or injury, or death associated with these events. For myself, my heirs, executors, administrators, legal representatives, assignees, and successors in interest ( collectively “Successors”) I hereby waive, release, discharge, hold harmless, and promise to indemnify and not to sue the Releasees and all sponsors, organizers and promoting organizations, property owners, public entities, special districts and properties that are in any manner connected with these events and their respective agents, officials, and employees through or b which these events will be held, (the foregoing are also collectively deemed to be Releasees), from any and all rights and claims including claims arising from the Releasees' own negligence to the maximum extent permitted by law, which I have or which may hereafter accrue to me and from any and all damages which may be sustained by me directly or indirectly in connection with, or arising out of, my participation in or association with the event, or travel to or return from the event. I agree it is my sole responsibility to be familiar with the course(s) and agenda, the Releasees' rules, and any special regulations for the events and agree to comply with all such rules and regulations. I understand and agree that situations may arise during an event which may be beyond the control of the Releasees, and I must continually ride and otherwise participate so as to neither endanger myself nor others. I accept responsibility for the condition and adequacy of my equipment, any equipment provided for my use, and my conduct in connection with the events. I will wear a helmet which satisfies the requirements of the Releasees' Rules and Regulations and that can protect against serious head injury, and assume all responsibility and liability for the selection of such a helmet and any modifications or attachments thereto. I have no medical or physical condition which would endanger myself or others if I participate in this event, or would interfere with my ability to safely participate in this event. I agree for myself and my Successors, that the above representations are contractually binding, and are not mere recitals, and that should I or my Successors assert a claim contrary to what I have agreed in this contract, the claiming party shall be liable for the expenses (including legal fees) incurred by the Releasees in defending the claims. This contract may not be modified orally, and a waiver or modification of any provision shall not be construed as a waiver or modification of any other provision herein or as a consent to any subsequent waiver or modification. I consent to the release by any third party to Releasees and their insurance carriers of name and medical information that may relate solely to any injury or death I may suffer arising from the event. Every term and provision of this contract is intended to be severable. If any one or more of them is found to be unenforceable or invalid, that shall not affect the other terms and provisions, which shall remain binding and enforceable. Please type your name in the short answer text field.
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A copy of your responses will be emailed to the address you provided.
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