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Effingham County Recreation & Parks Coaches Application

  1. I hereby authorize Effingham County Board of Commissioners to receive any criminal history record information pertaining to me, which may be in the files of any state or local criminal justice agency in Georgia.

  2. Coaching Position*

    Please Check

  3. If you know your assistant, or you know who you are assisting please list them

  4. Please list name of child playing in league that you are interested in coaching.

  5. Initials in block

  6. Initials in block

  7. Initials in block

  8. Initials in block

  9. Electronic Signature Authorization*

  10. Full Name

  11. Leave This Blank:

  12. This field is not part of the form submission.