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The Bloomfield Parks, Recreation & Cultural Affairs Department values its’ volunteer coaches and recognizes the vital role they play in the physical and social development of our youth sports participants. We commend and thank our volunteers for the interest, sacrifice and commitment they make to our children, our programs as well as the positive impact they have on the overall quality of life in our community. Our paramount concern is the safety of our players. To assure the protection of our participants and volunteers all coaches are subject to the following requirements:
To the best of my knowledge, I am physically fit to participate in this program. I hereby release the Bloomfield Parks, Recreation & Cultural Affairs Advisory Board of the Township of Bloomfield, its Officers, Agents, Servants, and Employees; the Township of Bloomfield, its Officers, Agents, Servants and Employees; the Bloomfield Board of Education, its Officers, Agents, Servants, and Employees from any and all liability with respect to any injuries that may be sustained while going to, while engaging in, and returning from this activity.
In order to meet all legal requirements, I hereby authorized representative(s) of the BPRCA to give consent for any and all necessary emergency medical care while I participate in this BPRCA program.
By filling out this application and signing it, I am authorizing the BPRCA to use this information to conduct and/or review my background check. Your information will be solely used for this purpose and results will remain confidential.
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