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Anderson COUNTY RETURNING YOKE FOLK & TEAM LEADER APPLICATION
Welcome back! Make sure you don't leave anything blank -- complete applications make up happy.
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Indicates required field
Name
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First
Last
Name you go by
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Email
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Phone Number
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Date of Birth
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Where do you attend church during the school year?
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Gender
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Male
Female
T-Shirt Size
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S
M
L
XL
XXL
XXXL
Category
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YOKE Folk (college age)
Team Leader (out of college)
Address (Where you live during the school year)
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Line 1
Line 2
City
State
Zip Code
Country
Address (Where you get your mail, if different)
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Line 1
Line 2
City
State
Zip Code
Country
Club Status
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Stay at current club
Need to change clubs
Certifications
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CPR
First Aid
Lifeguard
In the past 12 months, have you used alcohol, tobacco, illegal drugs, or abused prescription drugs?
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Yes
No
Have you ever been arrested for or convicted of a criminal or juvenile offense? (If yes, please explain in the comments.)
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Yes
No
Is there anything involving you or your background that would disqualify you from being entrusted with the supervision, guidance or care of youth? (If yes, please explain in the comments.)
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Yes
No
Has your driver's license ever been suspended or revoked? (If yes, please explain in the comments.)
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Yes
No
Have you ever been arrested for or convicted of child abuse or any related offense? (Is yes, please explain in the comments.)
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Yes
No
Comment
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I understand that the information I have provided may be verified. I commit to participate in child protection training within 30 days if required. I affirm that the information I have given on this form is true and correct. By typing my name below, I acknowledge that I am electronically signing this application.
Type electronic signature here
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Submit
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