Registration Wizard

Complete Registration Form

2022-2023 YBOC Coach

If you are applying as an assistant, list head coach or team name (if known).
  • YES
  • NO

COACHES INFORMATION

Team name if known
Leave blank if you have not completed your NAYS certification yet.
Leave blank if you have not completed or renewed your certification yet.
  • YES
  • NO
Enter state and license number.
xxx-xx-xxxx
  • YES
  • NO
Do you have pending charges, been convicted of, or plead guilty to any crime(s)?
If YES, describe each charge in full.
If YES, list name and grade of all children participating.
List all coaching experience including type of sport, age, level, dates, and city or town where you coached.
List any activities (other than athletics) in which you have been involved in working with children or youth.
Have you ever been refused participation as a parent or coach in any youth programs? If YES, explain.
List name and phone number of three references (other than spouse or family members).
Briefly describe your coaching philosophy.
Additional information or comments.
By typing your name, you authorize investigation of all statements contained herein and affirm all information is correct.

Waivers

Background Check Authorization

"I authorize investigation* of all statements contained herein and all information concerning previous coaching assignments and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from the information furnished."

The position of Head Coach or Assistant Coach, is an appointed position upon the approval of the Board of Directors of Roger County Sports and/or Youth Basketball of Claremore and any person approved and designated as such will hold that position for no definite period of time and may regardless of the date of approval of position, be terminated at any time without prior notice for whatever reason(s) the Board of Directors deems necessary.

*Please note: All applicants will be subjected to a background check.

NOTE: Rogers County Sports and Youth Basketball of Claremore will not discriminate against any person on the basis of race, creed, color, national origin, marital status, gender, sexual orientation, or disability.

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