2. 
3. Youth Tennis Camp Volunteer Coach Application
4. 
6. Volunteer Last Name*
7. Volunteer First Name*
9. Birth Date*
   Birth Date
10. Social Security Number*
11. Maiden name
13. Email Address*
14. Telephone Number*
16. Team Name*
17. Coach:*

    1. Returning Coach
    2. First-Time Coach
19. Sport(s)*
20. T-Shirt Size*
    -- Select One --Adult SmallAdult MediumAdult LargeAdult XLAdult 2XL
24. Home Address*
25. Apartment Number
27. City*
28. State*
29. Zip Code*
31. How many years have you been at this address?*
    (If less than 7 years, list previous address below)
33. Previous Home Address
34. Apartment Number
36. City
37. State
38. Zip Code
42. Driver's License Number*
43. State where Driver's License was Issued*
45. In Case of Emergency Call
47. Emergency Contact Name*
49. Emergency Contact Phone*
50. Emergency Contact Alternate Phone Number
52. Emergency Contact Relationship to Volunteer*
54. Medical Information
56. Do you have any illness or medical condition that would affect your ability to provide volunteer services?*

    1. Yes
    2. No
57. If yes, please provide a list of all illnesses or medical conditions
59. Medications
61. Special conditions/concerns:
63. Employment History
65. Current Employer
66. Job Title
67. How many years have you worked here?
69. Employer Address
71. City
72. State
73. Zip Code
75. Education & Marital Status

    (Complete as many blanks as apply to you.)

77. Name of High School
78. Date of Graduation
79. Field of Degree
81. Name of Associate's Degree School
82. Date of Graduation
83. Field of Degree
85. Name of College Attended
86. Date of Graduation
87. Field of Degree
89. Name of Graduate Degree School
90. Date of Graduation
91. Field of Degree
93. What is your Marital Status?*

    1. Married

    1. Single

    1. Divorced
95. Criminal History
97. In the past five years, have you ever been arrested or convicted of any criminal offense including but not limited to driving while intoxicated?*

    1. Yes
    2. No
98. If YES please explain:
100. References

     Please list the name, occupation and telephone numbers of three people (other than relatives) who know you well enough tho provide us with a reference.

102. Reference #1 Name*
103. Occupation*
104. Work Phone*
105. Home Phone
107. Reference #2 Name*
108. Occupation*
109. Work Phone*
110. Home Phone
112. Reference #3 Name*
113. Occupation*
114. Work Phone*
115. Home Phone
117. Disclosure Authorization

     (Employment Purposes) The City of Shreveport is required by law to provide the FCRA Summary of Rights with each background investigation. We utilize this investigation primarily for criminal background checks.

119. 21736-City of Shreveport Human Resources*

     In connection with my application for employment, I understand that a consumer report and/or an investigative consumer report may be requested and obtained for employment purposes on behalf of the City of Shreveport. I also understand that, if I am hired, a consumer report and/or an investigative consumer report may be requested and obtained during the course of my employment.
     
     The report may include information regarding my character, general reputation, personal characteristics, mode of living, and credit standing which may confirm or deny my eligibility for employment with the City of Shreveport. The information contained in the report will be obtained from private and public record sources, including, as may be appropriate, personal interviews with sources such as neighbors, friends and associates.
     
     By providing the information requested in this for and singing this Disclosure Authorization, I authorize the City of Shreveport to request and obtain a consumer report and/or investigate consumer report regarding me. I also acknowledge that a facsimile or photographic copy of this Disclosure Authorization will be as valid as the original.
     
     

     1. Agree to all
121. SPAR Adult Code of Conduct
123. Any adult who is using alcohol, tobacco and/or appears intoxicated at a SPAR game/event, and/or who is flagrantly rude, attempts to intimidate, verbally abuse, taunts, ridicules, throws objects and/or uses vulgarity or profane language/gestures with an official, coach, volunteer, staff member, participant or other event attendee shall be asked to leave the event premises and subject to be permanently banned from all SPAR League events. Any adult who physically assaults an official, coach, volunteer, staff member or participant or threatens bodily harm shall be permanently banned from all SPAR Athletic events and prosecuted to the fullest extent of the law.
125. Rules and Regulations
     By my signature below, I hereby stipulate that I have read, fully understand and voluntarily agree to all of the above, and
126. I give the City of Shreveport permission to photograph my child/myself for the purpose of publicizing events and/or programs. *

     1. Yes
127. I have read the SPAR Code of Conduct and my signature will serve as verification that that I will adhere to them accordingly **

     1. Yes
129. Waiver of Liability Release Form
131. Tennis Waiver of Responsibility & Media Release

     I understand the normal risks from playing tennis and hereby release the hosting facility, the professionals and any person involved from any responsibility for any damages, losses or injuries sustained in conjunction with this program for myself or my child.

     1. I hereby waive, release and forever discharge USTA, LTA, NWLA-CTA, city of Shreveport and/or Bossier, SPAR, Bossier Public Parks/Recreation, and the participating tennis facilities, their officials, instructors, employees, volunteers, agents and support personnel from any loss, cost, or expense, claims or demands of any and every kind which I may now have, may acquire while participating in the junior or adult tennis program, or may hereafter have for any and all damages, losses, injuries, cost or expense which may be suffered or sustained by me in connection with participation in the junior or adult tennis program AND/OR EXPOSURE TO INFECTIOUS SYNDROMES OR DISEASES TO THE PERSON OR PROPERTY OR RESULTING IN ILLNESS AND/OR DEATH OF THE UNDERSIGNED ARISING OUT OF OR RELATED TO THE EVENT(S), WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE. BY PARTICIPATING OR ATTENDING THIS EVENT YOU ASSUME ALL RISKS WHETHER KNOWN OR UNKNOWN for you and your child.
     2. HEREBY AGREES TO INDEMNIFY AND SAVE AND HOLD HARMLESS the Releasees and each of them FROM ANY LOSS, LIABILITY, DAMAGE, OR COST they may incur arising out of or related to the EVENT(S) WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES or otherwise.
     3. HEREBY acknowledges that THE ACTIVITIES OF THE EVENT(S) MAY BE DANGEROUS and involve the risk of exposure to infectious syndromes and diseases, serious illness, injury and/or death and/or property damage and he/she ASSUMES FULL RESPONSIBILITY FOR
        ANY RISK WHATSOEVER, INCLUDING BUT NOT LIMITED TO BODILY INJURY, EXPOSURE, DEATH OR PROPERTY DAMAGE arising out of or related to the EVENT(S) whether caused by the NEGLIGENCE OF RELEASEES or otherwise.
     4. HEREBY grants to the Releasees (and grants to the Releasees the right to grant to others), as well as their successors and assigns, in perpetuity, the irrevocable right (but not the obligation), with or without my knowledge, to film, tape, photograph, record, exhibit, edit, alter, copy, reproduce, license, sell, rent, disclose, display, publish, distribute, broadcast, webcast, prepare derivative works from or otherwise preserve, use and/or exploit in any format and/or manner now known or hereafter developed, whether  commercial or non-commercial in nature (collectively, the “Use and Materials”): (1) my child’s or my appearance at and/or participation in the Event; (2) my name, likeness, signature, voice, singing voice, conversation, sounds, biographical data, testimonials, and/or any other information or material secured by the Releasees in connection with my child’s or my appearance at and/or participation in the Event. I agree that Releasees shall have the right to the Use and Materials, for their own account, throughout the universe and in perpetuity. I acknowledge and agree that I shall not be entitled to receive any compensation whatsoever in connection with the Releasees’ exercise of its Use and Materials rights.
     5. If I or my child participates in a Tennis program, I authorize my registration information can be shared with NWLA-CTA and for them to be entered into USTA Serve Tennis database for participation or grant purposes only.  

     I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF ALL RISK, AND INDEMNITY AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT, ASSURANCE OR GUARANTEE BEING MADE TO ME AND INTEND MY SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW.

     By hitting the “submit” button below I am agreeing that I have read, acknowledge, and agree with the waiver and responsibility and media release.

133. In consideration of being permitted to participate in SPAR or other City related activities; I and the City, agree as follows:
     I hereby agree to indemnify, release, defend, and hold SPAR and the City of Shreveport, and all of its members, officers, agents and employees, both paid and voluntary, hereinafter referred to as “RELEASEES”, harmless of and from any and all liability, claims, suits, or cause(s) of action which may arise, regardless of whether caused by the negligence of RELEASEES, from bodily injury, death or property damage, to me, or my children, or to third persons as a result of my, or my child’s, participation in the activities. I have been fully advised to the terms of the event and hereby agree to perform and consent to my participation, as well as my child’s participation, in the activities. I release RELEASEES from any claim whatsoever on account of first aid, treatment, or service rendered to me or my children during participation in the activities. I give SPAR and the City of Shreveport permission to photograph my child or myself for the purpose of publicizing events and/or programs. The terms of this release are contractual and not a mere recital.
135. SPAR EVENT PARTICIPANT/SPECTATOR COVID-19 WAIVER**

     In consideration of being allowed to participate and/or spectate in any way in the Shreveport Public Assembly and Recreations sports programs, related events and activities, the undersigned acknowledges, appreciates, and agrees that:
     
     1. The risk of injury and/or illness from the activities involved in the program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce the risk, the risk of serious injury does exist;
     
     2. The risk to have contact with individuals, who have been exposed to and/or have been diagnosed with one or more communicable diseases, including but not limited to COVID-19 or other medical conditions, diseases, or maladies does exist, and it is impossible to eliminate the risk that I could be exposed to and/or become infected through contact with or close proximity with an individual with a communicable disease;
     
     3. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume all full responsibility for my participation;
     
     4. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and
     
     5. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS THE CITY OF SHREVEPORT, their officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of the premises used to conduct the event ("Releasees"), WITH RESPECT TO ANY AND ALL INJURY, ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.
     
     6. I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, BEFORE ACKNOWLEDGING THE CHECKBOX BELOW, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY AGREEING TO IT ON MY OWN BEHALF OR ON BEHALF OF THE YOUTH PARTICIPANT ASSOCIATED WITH THIS GUARDIAN ACCOUNT, AND I SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
     
     ACKNOWLEDGEMENT BY ADULT PARTICIPANT: By acknowledging and agreeing to the checkbox below, I agree and verify the following:
     1) I consent and agree to assume the risks of participation in these programs; and
     2) that I specifically agree to the release as provided herein of all the Releasees, and, for myself, my heirs, assigns and next of kin, I release and agree to indemnify the Releasees from any and all liabilities incident to my involvement or participation in these programs EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.
     
     ACKNOWLEDGMENT BY PARENTS AND/OR LEGAL GUARDIANS OF YOUTH PARTICIPANTS (if completing form on behalf of a minor): By acknowledging and agreeing to the check box below, I agree to and verify the following:
     1) I am the parent or legal guardian for the youth participant associated with this guardian account,
     2) that the date of birth of the youth participant associated with this guardian account is correct,
     3) that as parent/legal guardian with legal responsibility for this youth participant, I consent and agree to assume the risks of his/her participation in these programs; and
     4) that I specifically agree to his/her release as provided herein of all the Releasees, and, for myself, my heirs, assigns and next of kin, I release and agree to indemnify the Releasees from any and all liabilities incident to this youth participant's involvement or participation in these programs as provided above EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.
     
     

     1. Agree to all
137. Volunteer Applicant Signature*
139. Date Signed*
     Date Signed
141. If you haven't done so already...

     Email a copy of the following:

     1. Drivers License
     2. CPR Card
     3. Certificate
Leave This Blank:


142. 1. Receive an email copy of this form.
143. Email address

     This field is not part of the form submission.

144. Submit

* indicates a required field