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POSITION APPLYING FOR

Head Coach   Assistant Coach
Team Mom   Team Administrator
Sideline Personnel
Applying for coach at:   Grade:

EXPERIENCES
Previous Coaching Experience
(Most Recent First)
PositionTime PeriodType of Position
(Youth, MS, HS)
-
-
-
Have you ever been disciplined (suspended, fined, reprimanded, etc.) or fired by an organization (school, league or otherwise) for your actions or behavior?No: Yes:
Have you ever been convicted of a crime? No: Yes:


SPONSOR
Must be a current Varsity Coach or member of the GMSAA Board of Directors

PERSONAL REFERENCE



AS A CONDITION OF MY ACCEPTANCE as a Head Coach, Assistant Coach, Team Mom, Administrator or Sideline Personnel ("Applicant") under the Georgia Middle School Athletic Association ("GMSAA"), I attest and affirm the following:

I HAVE READ AND AGREE to abide by the rules and regulations of the GMSAA as set forth in the GMSAA Constitution and By-Laws (found on www.gmsaa.net and in hard copy when requested).
If I am selected as a head coach, I agree to ensure that my coaching staff abides by all such rules and regulations.
I understand that I will be required to attend coaching clinics from time to time and that my continuation as a coach under the GMSAA is contingent upon my attendance at such clinics.
I Agree

I agree to release liability and Hold Harmless the GMSAA, Inc., its Officers and Board of Directors for occurrences while
engaged in coaching and related activities.
I Agree

I FULLY UNDERSTAND that, as an Applicant,  I am in a position of authority and influence over the 
participants in the sport and agree to act in a manner that properly reflects the tenets of good 
sportsmanship that are at the core of the GMSAA.  I further understand that although GMSAA positions 
are voluntary, that the GMSAA may suspend or remove me from a position if it is determined that I have 
violated GMSAA rules, including the tenets of good sportsmanship, or for any reason if the GMSAA 
determines that it is in the best interest of the association and its participants.  I understand that any 
decision by the GMSAA Executive Officers to suspend or remove me from a position is final with no right 
of appeal.
I Agree

 I CERTIFY THAT THE INFORMATION I HAVE SUBMITTED is true and accurate.
I authorize the release of personal information about me and hereby submit to a criminal and personal background check.
I further understand that the GMSAA may reject this coaching application or may discharge me at any time if it is 
determined for any reason, in its sole discretion, that such action is appropriate and in the best interest of the 
GMSAA and its participants.  
I understand that I may be asked to resubmit to background checks so that up-to-date information may be obtained.
I Agree

I HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE THE Georgia Middle School Athletic Association, Inc., 
their respective administrators, clients, directors, agents, officers, members, coaches, volunteers, employees, 
participants, sponsors, advertisers, and, if applicable, owners and lessors of the premises on which the activities 
take place, (each considered one of the "RELEASEES" herein) FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES 
CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY ANY WILLFUL OR NEGLIGENT ACT (OR NON-ACTION) OF THE "RELEASEES" 
OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS, AND INCLUDING MY SUSPENSION OR DISCHARGE AS A COACH; AND I FURTHER 
AGREE that if, despite this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT, I, or anyone 
on my behalf, makes a claim against any of the Releasees, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE RELEASEES 
from any litigation expenses, attorneys fees, loss, liability, damages, or cost which any may incur as the result of such claim.
I Agree

This Agreement is effective as of the date executed below and shall be interpreted and construed under the laws of the 
State of Georgia and shall be binding upon and inure to the benefit of the parties.  This Agreement may not be altered, amended or 
modified or any of its provisions waived except in a written document signed by both parties.  
I understand that the covenants entered into through this Agreement shall remain continuous and binding until two years after the 
last date that I am no longer coaching through the GMSAA.
I Agree

I HAVE READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS.  
I AGREE THAT THE ELECTRONIC SUBMISSION OF THIS APPLICATION SHALL BE ACCEPTABLE FOR MY SIGNATURE IN ALL CASES.  
BY ELECTRONIC SUBMISSION, I HAVE SIGNED IT FREELY AND WITHOUT ANY INDUCEMENT OR ASSURANCE OF ANY NATURE AND INTEND IT TO BE A COMPLETE 
AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT 
IS HELD TO BE INVALID, THE REMAINING PROVISIONS SHALL CONTINUE IN FULL FORCE AND EFFECT. 
I Agree