2012 Fall Lacrosse Coaching Application

I authorize to make inquiry of or receive information from any person or organization regarding my suitability for coaching, and I do hereby give permission to any persons or organizations to provide such information.

I hereby forever waive, release, and covenant not to sue any person or organization, its agents and members, for the results of providing, obtaining, or acting upon such information. I give this waiver, release, and covenant not to sue for myself, my heirs, assigns, and successors in interest forever. I give this waiver, release, and covenant not to sue understanding that the information obtained may be such to disqualify me for the coaching position. I understand that such information is sought with confidentiality and I will not request copies of such information.

I also certify that all statements made on this application are true and complete, accurate and not misleading, to the best of my knowledge. I understand that any false statements, incomplete statements, or misrepresentations may subject me to immediate disqualification or dismissal. A copy of this authorization shall be effective as the original.

*Acceptance, retention, or review of this application does not guarantee a coaching position.
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question

    Thank you for taking the time to complete this application. We will be in touch in the near future.