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2. Your Name*
4. Address*
5. City*
7. email address*
8. Phone*
10. Players Name*
11. Your Relationship to Player*
13. Activity you are applying for*
    -- Select One --BasketballSoccerBaseballSoftballTeeball
14. Age Group*
16. Background Check
    ssci2000.secure-screening.net

    Prior to coaching each applicant is required to submit to a background check. Please follow the link above to submit your information online. Should you have any concerns about the background check, please contact the Athletics Manager in confidence to discuss.
18. State of Ohio Concussion Awarness Course
    nfhslearn: concussion in sports

    The State of Ohio requires that all youth sports coaches complete a concussion awareness course prior to coaching. We are required to keep your certificate of completion on file. The course is free and takes about 20 minutes to complete. If you have completed the course in the last three years there is no need to retake it. Follow the link above to take the course.
20. Broadview Heights Coach's Pledge
    Read the Coaches Pledge

    As a coach, parents have placed their children in your care. You will be playing a key role in their development and many of the memories they make while playing on your team will stay with them a lifetime. It is important to understand that your words and actions will have an impact on how these children view sports, competition, their team mates and most importantly – themselves.

    
    

    With the understanding of the important role you play, we expect each of our coaches to abide by a code of conduct as outlined in our Broadview Heights Coaches Pledge below.

22. Please check below when complete*

    1. I have competed the background check
    2. I have completed the concussion course
    3. I have red and agree to the coaches pledge
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24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

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