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Date: Sat, 08 Sep 2007 10:53:38 +0000 (GMT)

From: vrothaar@optonline.net

Subject: Fwd: Background Check Complete

To: "Dirk Blanke" <nschc@yahoo.com>

Forwarded Message
Date: Tue, 28 Aug 2007 20:04:24 -0400

From: "Lynne Thibdeau" <lthib1@aol.com>

Subject: Background Check Complete

To: "Vincent Rothaar" <vrothaar@optonline.net>

HTML Attachment

Vincent Rothaar,

Congratulations, your background check for volunteering for ENYYSA / LIJSL has been completed, and
you are eligible.
Order #175103 Order Date:Aug 28, 2007 Confirmation Date: Aug 28, 2007

1 of 1 9/8/2007 2:46 PM
NEWFIELD SOCCER CLUB
www.newfieldsoccerclub.com
INTRAMURAL DIVISION COACHES REGISTRATION
(FALL 2007 & SPRING 2008)

COACHES INFORMATION (please Print)r '


~()&~ C\l\[ \j ,/)(f f).1- Sex Spouses Name
Last S~!
r:
am!<.-- fi LM nJfL
./\.r". FIrst Name

Address C o .1't'I1o'\ 1/7)1


Zip Code
0? J) 47'-1-(tJlQ
City ~sy-1~J.t1
Daytime Phone.
~ 7 4-d-g0'K
t? ,Home Phone
Mobile Phone

__ /No __ Yes
Previous Coaching Experience Name of Organization Number of Years La~t Team

Last Team(s) coached, Please include the division. Indicate whether you were the coach. co-coach, assistant coach, etc.

Which Division(s) Are You Interested In Coaching This Season:


Coach Assist Coach Assist
Little Feet (Boys 4/5 Yrs Old) Little Cleats (Girls 4/5 Yrs Old)
Midgets (Boys 6n Yrs Old) Munchkins (Girls 6n Yrs Old)
Squirts (Boys 8/9 Yrs Old) Disney (Girls 8/9 Yrs Old)
NCAA (Boys 1011 I Yrs Old) __ ~/ Ivy (Girls lOll I Yrs Old)
Seniors (Boys (12-15 Yrs Old) __ ,.c.../_ Seniors (Girls 12-15 YrsOld)

Do you have an Assistant Coach? Yes No Name:

VOL UNTEER SIGNlJP: Referee


Volunteer Committees -+ Registration Sponsors Newsletter __ Field ~Iaintenance
Fund Raising Equipment Special E\'ents Volunteer

ALL COACHES MUST FILL OUT A RISK MANAGEMENT APPLICATION


AND SUBMIT THEIR RECEIPT BEFORE THEY WILL RECEIVE THEIR ROSTER.

I agree to abide by lhe By-Laws,Rules·Directiyes of~SC. LLTSL. EX"{YSA. lite USYSA and FIFA, I will attend all meelings or send a team representaliw. I agree to
hold one to lwO practices each ,yeek. appropriate 10 the age of the players. and to be punctual in arriying for practices and games. I agree not to lea"e practices or games
until all players ha"e heen picked up hy a parenl, guardian, or olher authorized adult, I will refrain from teaching unsafe or un-sportsmanlike melhods 10 the players, I
willretl'ain from teaching and \\'ill discourage demeaning songs, cheers 01'chants to the players, I \,iIl refrain from seeking any ad\'antage beyond that of superior skilL
tactics and fitness, I und"rstand that official J"cisions by th" rdere"s should b" accept"d without rancor 01' ang"!'. no matt"r ho\\' unfair they may s""m: I further
understand that the use of b"ha,'ior. ""lbal or physical. which is imi1llidating towlU'ds th" rd"r"", other coaches and spectators (including ""gar, improp"!'. foul.
demeaning. and 'or abusi,'e language) is grounds for imm"diate dismissal as a Coach (See ~SC By-Ia,\'S for Conduct and P"nalties1. I will t"ach th" players r"sp"ct for
th"ms"h'es. their opponenrs and the rd"rees, I will teach the play"rs sportsmanship and proper on-tield conduct, I "'ill prm'ide a fun learning "U\'ironment for the
play"rs and ah\'ays treat play"!'; ,\'ith respect. I \\'ill instruc! parents in proper beha,'ior at gam"s. including resp"ct for th" referee. th" "opposing" parents. and both sets
of players: I und"rstand that spectator control is my f"sponsibility. and ifth" rd"re" must take measures to control tit" gam". he 'sh" can not tak" them with the par"nts so
he'sh" will take th"111with 111".as coach, I will "ncourag" safe. c0111petith'e. fail' play and will r"ward impro"ement and eflort. regardless of skilL and r"gardkss of the
outcome of any gam", I ,yill take steps to ayoid "nmning up the score" hy playing shorthanded or using otlt"r means to pr""ent embarrassing the otlter t"am, I
und"rstand that ,,'inning is desirable. but ,,'inning at any cost defeats lh" purpos" of the game, Losing can he a triumplt when the t"am has gi"en its b"st dfort, I agree to

X
und"rstand
abide tltat Coaches
b~' this ,'iolation ri'o
'I/)/{t/.
0 a ."of
ofth"s",,-nl
Conduct s.o
and ondu' ~
gree t de"m"d
;/i unacc"ptable
pro,'ide to theinformation
an~' penonnel principles andas goals of:\SC.
deemed '11
is subject
nece"a~' rzt <.r)
by t't~lfediate
:.'\SC dismissal.
to perform background checks. I
Coaches Signature Date

Risk Management Application Receiwd: _ Date: _


Risk Management Fee Billed to Club:
Check ;::: _ Amount: _ Date: _
Code of Conduct for iVewfield Soccer Club Coaches
All Coaches from the Newfield Soccer Club (NSC) agree to abide by thefollowing rules of conduct.
Accordingly, as a Soccer Coach, I:

1. Agree to abide by the By-LawslRuleslDirectives of NSC, LIJSL, ENYYSA, the USYSA and FIFA.
2. Will attend all meetings or send a team representative.
3. Agree to hold one to two practices each week, appropriate to the age of the players, and to be punctual in
arriving for practices and games.
4. Agree not to leave practices or games until all players have been picked up by a parent, guardian, or other
authorized adult.
5. Will refrain from teaching unsafe or un-sportsmanlike methods to the players.
6. Will refrain from teaching and will discourage demeaning songs, cheers or chants to the players.
7. Will refrain from seeking any advantage beyond that of superior skill, tactics and fitness.
8. Understand that official decisions by the referees should be accepted without rancor or anger, no matter how
unfair they may seem; I further understand that the use of behavior, verbal or physical, which is intimidating
towards the referee, other coaches and spectators (including vulgar, improper, foul, demeaning, and/or abusive
language) is grounds for immediate dismissal as a Coach (See NSC By-laws for Conduct and Penalties).
9. Will teach the players respect for themselves, their opponents and the referees.
10. Will teach the players sportsmanship and proper on-field conduct.
11. Will provide a fun learning environment for the players and always treat players with respect.
12. Will instruct parents in proper behavior at games, including respect for the referee, the "opposing" parents, and
both sets of players; I understand that spectator control is my responsibility, and if the referee must take
measures to control the game, he/she can not take them with the parents so he/she will take them with me, as
coach.
13. Will encourage safe, competitive, fair play and will reward improvement and effort, regardless of skill, and
regardless of the outcome of any game. I will take steps to avoid "running up the score" by playing
shorthanded or using other means to prevent embarrassing the other team.
14. Understand that winning is desirable, but winning at any cost defeats the purpose of the game. Losing can be a
triumph when the team has given its best effort.
15. I agree to abide by this Coaches Code of Conduct and agt'ee to provide any personnel information as
deemed necessary by NSC to perform background checks.
16. I understand that violation of any of these rules, or conduct deemed unacceptable to the principles and goals of
NSC, is subject to immediate dismissal.

Date:

Age Group: U - J3 B or~)


A copy of this form must be returned to the travel secretary (for travel coaches) or intramural Head
Commissioner (for intramural coaches) prior to the season commencing

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