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2. In order to serve as a scorekeeper at athletic programs and events, you must complete the following items and then be approved by the Parks and Recreation Department: Scorekeeping Application, Background Check (performed by SSCI) if over 18 years of age, and Attend a mandatory training meeting.
4. Contact Information
6. First Name*
7. Middle Name*
8. Last Name*
10. Date of Birth*
11. Age*
13. Address*
15. City*
16. State*
17. Zip*
19. E-mail*
20. Phone*
24. General Information
26. Scorekeeping or Athletic Experience*
30. Scorekeeper's Agreement
32. Code of Conduct Statement of Understanding*
    I realize that when I serve as a scorekeeper in a Goodlettsville Parks and Recreation Youth League(s) I am representing my family, my community, and myself. My conduct reflects upon all of these. I understand that I am responsible for my own actions and behavior. I agree to abide any/all rules established by Goodlettsville Parks and Recreation. I also understand that the Goodlettsville Parks and Recreation may remove me from any scorekeeping position for unacceptable behavior as defined by the agreement.
34. Scorekeeper's Agreement*

    If my application is accepted and I am approved to be a scorekeeper for Goodlettsville Parks and Recreation, I agree to abide by all Rules and Regulations governing scorekeepers and the program that I am involved with. I also agree to attend the mandatory training. I understand that if I have any problems or concerns while keeping score, I will talk with the designated Coordinator for the sport that I am overseeing. As an applicant to be a volunteer coach, I hereby authorize Goodlettsville Parks and Recreation or other entity to conduct a criminal records and background check if I am over the age of 18. I understand that the disclosure of a record may result in automatic disqualification from keeping score. Moreover, I hereby release Goodlettsville Parks and Recreation from any civil or criminal liability whatsoever for seeking the requested information and for evaluating such information as it relates to my application with the City of Goodlettsville. I understand the information received will be treated in a confidential manner. I agree to notify Goodlettsville Parks and Recreation in the event that charges are brought against me or if I am under investigation during my tenure. I also understand that approval of a Background check does not imply that my application will be approved. I understand that the designated coordinator has the authority to recommend approval or denial to the Recreation Superintendent for any positions for the sport they coordinate. I hereby expressly acknowledge and agree that the City of Goodlettsville Parks and Recreation Superintendent may select and/or suspend/dismiss me as a contracted employee with or without cause and in her sole discretion.

    1. I agree
36. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree
38. Electronic Signature*
39. Date*
    Date
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41. 1. Receive an email copy of this form.
42. Email address

    This field is not part of the form submission.

43. Submit

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