Adult Athlete Application

I'd like to compete or practice with the following youth-serving organization:

Name and Contact Information

Click or drag files to this area to upload. You can upload up to 3 files.
Upload headshot- (professional in nature)
please ensure this number is able to receive text messages
format for each: Year Rostered, Company (ie: XYZ Gymnastics), Team Name, Coach Names, List Two References From Each Team
Click or drag a file to this area to upload.
max 10 MB

Your Emergency Contact

In the event of an emergency whom should we notify?
spouse, family friend, neighbor, etc.

Potential Participation with Juvenile Athletes

(Answering yes to this, does not automatically disqualify you as an athlete.)
(Answering yes to this, does not automatically disqualify you as a athlete.)
(If volunteer answered yes to this, the local youth-serving organization must contact your Sports Compliance Company Risk Manager.)
FORMAT: Full Name, Address, City, State, Zip, Phone, Email, How Many Years Known? 1. 2. 3.

The Sports Compliance Company will not discriminate against any person on the basis of race, creed, color, national origin, marital status, gender, sexual orientation or disability.

Click or drag files to this area to upload. You can upload up to 2 files.
upload two files- front and back of identification. Files must be under 10 MB.

FOR RISK MANAGER USE ONLY

Background check completed by risk officer _________________________ on _________________ (insert date) System(s) used for background check (minimum of one must be checked): Review all background check requirements- JDP (Includes review of the US. Center of SafeSport’s Centralized Disciplinary Database and Sport Ineligible List)* National Criminal Database check National Sex Offender Registry U.S. Center of SafeSport’s Centralized Disciplinary Database and sport federation Ineligible List *Please be advised that if you use JDP and there is a name match in the few states where only name match searches can be performed you should notify volunteers that they will receive a letter or email directly from JDP in compliance with the Fair Credit Reporting Act containing information regarding all the criminal records associated with the name, which may not necessarily be the league volunteer. Only attach to this application copies of background check reports that reveal convictions of this application.