RPBA 2024 Volunteer/Umpire Application
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Correo *
First and Last Name *
Date of Birth *
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Street Address *
City *
Best Contact Phone Number *
Any other name you have used (Maiden Name)
Have you ever been convicted or plead guilty to any crime(s) involving or against a minor?   *
Are there any criminal charges pending against you involving or against a minor? *
If you answered yes to either of the above questions please explain, what was the approximate date, charge, city, county, and state.
Have you ever been refused participation in any youth programs? *
If you answered yes, please explain:
RPBA depends on parent volunteers.  Please indicate how you can help.  Check all that apply.  
Coach/Assistant Shirt Size
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By typing my name below, I give permission for the KVA to conduct background check(s). I understand that, if appointed, my position is conditional upon the league receiving no inappropriate information on my background. I hereby release and agree to hold harmless from liability the RPBA, KVA, the officers, and volunteers, or any other person or organization that may provide such information. I also understand that, regardless of previous appointments KVA is not obligated to appoint me to a volunteer position. If appointed, I understand that prior to the expiration of my term I am subject to suspension by the President and removal by the Board for violation of KVA policies or principles. *
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