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VOLUNTEER REGISTRATION

For additional information please call: Clint Jones @ 334-791-1377 or James McCord @ 334-596-1642 or email dothanmiracleleague@gmail.com

Closes in 24 days.


Type of Volunteer :
Head Coach
Assistant Coach
Buddy
Video Board
Other Field Duties
Volunteer First Name :

Volunteer Last Name :

Volunteer Shirt Size :
Date of Birth :

Contact Phone Number :

Street Address :

City :

County :

State :

Zip Code :

E-mail Address :

Buddy Requirement: Are you 12 years of age or older? :


Coach Requirement: Are you 20 years of age or older? :


I would like to Buddy with the same athlete as last year :


Athlete Name :

I would like to be on the same team as last year :


Team Name :

How long have you been a resident in Dothan or Houston County :

Coaches: What experience do you have in working with the public? :

Describe any specific skill or training that is related to the sport you are volunteering for :

I hereby certify that all statements made by me in this application are true and correct to the best of my knowledge. I understand that I will be subject a background check. I also understand that I must abide by the policies and rules as set by the Department of Leisure Services. I fully understand and agree to these conditions. :


I agree to waive and release any rights and claims for damages against the Miracle League Association of Dothan, the City of Dothan, and Dothan Leisure Services, sponsors, employees, their representatives, and officials for all injuries arising out of participation in the program. :


I certify that I am at least 20 years of age unless this document is also signed by my parent or legal guardian. :


Signed, Applicant (type applicant name) :

Signed, Parent / Guardian (type parent/guardian name if friend is 18 years or under) :


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