Village of Lewiston Recreation - Red Brick Youth Basketball Coach/Volunteer Application Form - Fall/Winter 2021-22                                                        
Village of Lewiston Recreation Address: 145 N. 4th Street, Lewiston, NY 14092
Contact us at (716) 754-1990 or recreation@villageoflewiston.com

NAYS Code of Ethics for Coaches
I hereby pledge to live up to the following code set forth by the NAYS
and the Village of Lewiston Recreation Department:

I will place the emotional and physical well being of my players ahead of a personal desire to win.
I will treat each player as an individual, remembering the large range of emotional and physical development for the same age group.
I will do my best to provide a safe playing situation for my players.
I promise to review and practice basic first aid principles needed to treat injuries of my players.
I will do my best to organize practices that are fun and challenging for all my players.
I will lead by example in demonstrating fair play and sportsmanship to all my players.
I will not cheat or engage in any form of unethical behavior that violates league rules.
I will provide a sports environment for my team that is free of drugs, tobacco, and alcohol, and I will refrain from their use at all youth sports events.
I will be knowledgeable in the rules of each sport that I coach, and I will teach these rules to my players.
I will use those coaching techniques appropriate for all of the skills that I teach.
I will remember that I am a youth sports coach, and that the game is for children and not adults.
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Volunteer's Last Name *
Volunteer's First Name *
Volunteer's Middle Name or Initital *
Date of Birth *
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Volunteer's Street Address *
Volunteer's Town or City *
Volunteer's Zip Code *
Last Four Numbers of Your Social Security Number *
Volunteer's Contact Number *
Division Division you interested in coaching?: *
Player you are interested in coaching?: *
Instead of coaching, are you interested in keeping score of the games?
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I, the above named volunteer or coach, hereby give my consent for Village of Lewiston Recreation to perform a Criminal Background Check in conjunction with the Lewiston Police Department and/or a third party firm. I, the above named, also grant the Village of Lewiston permission to investigate any criminal record that we may deem as possibly harmful or disruptive to the Village of Lewiston Recreation's ability to provide programs to children. The Village of Lewiston and its agents, partners and employees retain the right to refuse the request of anyone to volunteer in any of its programs. *
Required
IMAGE RELEASE... I consent and herby grant the Village of Lewiston Recreation Department, its Officers, Agents, Employees and Assigns the right to take photographs of me in connection with my role as a volunteer coach. I understand that this photograph and/or digital reproduction may be utilized for all publication processes, whether electronic, print, digital or electronic publishing via the internet. I understand that I will not receive payment from any party. *
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