BRAZORIA LITTLE LEAGUE

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Volunteer Form 2021 Season

A COPY OF VALID GOVERNMENT ISSUED PHOTO IDENTIFICATION
MUST BE INCLUDED/ATTACHED TO COMPLETE THIS APPLICATION.

VOLUNTEER FORM 2021 SEASON

* First Name:

* Middle Name:

* Last Name:

* Street:

* City:

* State:

* Zip Code:

* Home Phone:

* Cell Phone:

* Email:

* Birthdate:

* Gender:

* Drivers License #:

* State Issued:

* Social Security # (mandatory):

OCCUPATION

* Occupation:

* Employer:

* Address:

* City:

* Zip Code:

* Work Phone:

EXPERIENCE

* Do you have children in the program?:

* If yes, list full name(s) and what age level?:

Special Certifications (CPR, Medical, Etc)?:

If yes, please list::

* Have you ever coached youth sports?:

If yes, please describe experience:

* How many years have you worked with youth in this sport?:

* Please select shirt size::

BACKGROUND HISTORY

Have you ever been charged with, convicted of, plead no contest, or guilty to any crime(s) involving or against a minor, or of a sexual nature?

* Choose one::

* If yes, describe each in full: (enter none if does not apply):

Have you ever been convicted of or plead no contest or guilty to any crime(s)?

* Chose one::

* If yes, describe each in full: (enter none if does not apply):

Do you have any criminal charges pending against you regarding any crime(s)?

* Choose one::

* If yes, describe each in full: (enter none if does not apply):

Have you ever been refused participation in any other youth program?

* Choose one::

* If yes, describe each in full: (enter none if does not apply):

In which of the following postions would you like to voulnteer?

* Choose one::

Please list three references, at least one of which has knowledge of your participation as a volunteer in a youth program:

* Name / Phone number:

CONDITION OF VOLUNTEERING

AS A CONDITION OF VOLUNTEERING, I give permission for the Little League organization to conduct background check(s) on me now and as long as I continue to be active with the organization, which may include a review of sex offender registries (some of which contain name only searches which may result in a report being generated that may or may not be me), child abuse and criminal history records. 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 liability the local Little League, Little League Baseball, Incorporated, the officers, employees and volunteers thereof, or any other person or organization that may provide such information. I also understand that, regardless of previous appointments, Little League 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 of Directors for violation of Little League policies or principles.

Note: The local Little League and Little League Baseball Incorporated will not discriminate against any person on the basis of race, creed, color, national origin, marital status, gender, sexual orientation or disability.

I/we agree with the above *

I agree to email the Brazoria Little League President a copy of my valid government issued photo I.D. I also understand my volunteer application is not complete until photo I.D is received as required. *

Email Photo ID to brazorialittleleague.president@gmail.com

* Signature:

* Date Signed:

* indicates required fields

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Volunteer Form 2021 Season