| Section I: Contact Information |
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| Please complete the required fields highlighted below in red. |
League/ Organization/Agency Name:* |
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Contact Name (person to act as NAYS Chapter Director):* |
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Position with Organization:* |
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| Organization Address:* |
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City/State/Zip:* |
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Daytime Phone:* |
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Email:* |
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Website: |
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Chapter Director address (if different from above): |
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City/State/Zip: |
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| How did you hear about NAYS? * |
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Section II: Program Interest |
| * Please select at least 1 program. |
Please check which education program(s) your chapter is interested in offering and answer the applicable questions relating to that program: |
National Youth Sports Coaches Association - Training Coaches |
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Parents Association for Youth Sports - Parents Orientation |
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National Youth Sports Administrators Association - Training for volunteer league administrators (Board members) |
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National Youth Sports Officials Association - Training for volunteer officials |
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Section III: Organization Type |
| * Please select your organization type. |
Please check the category that best describes your organization: |
| Parks & Recreation |
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Do you issue permits to outside youth sports user groups? |
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Are those groups required to have trained coaches? |
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| Independent Youth Sports League |
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| Multi-sport Youth Association |
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| Air Force |
| Army |
| Marines |
| Navy |
| Police Athletic League (PAL) |
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| Church/Religious Affiliation |
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| YMCA/YWCA |
| Boys & Girls Club |
| BlazeSports Club |
| Other: |
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| Section IV: Chapter Agreement |
| * Please check all terms of the agreement. |
| As a NAYS chapter, we agree to the following (Please review and initial): |
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conduct the NYSCA program in accordance with the Procedural Guidelines Manual (manual provided by the NAYS National Office) including the timely and legible submission of clinic Rosters, Balance Sheet, and membership fees when conducting onsite clinics. Submission of the membership fees is not optional. |
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submit pre-payment of $20 membership fee, per coach, for on-site coaches for our first clinic. The pre-payment amount is based on the quantity of Youth Sports Journals ordered for the first onsite clinic. If the number of coaches in attendance at the first clinic exceeds the pre-payment amount, we will submit the additional fees along with the clinic Rosters and Balance Sheet.
Note: If the pre-payment amount exceeds the number of coaches in attendance at our first clinic, the difference will be placed on a credit file and applied to future clinics. |
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return to the NAYS National Office all clinic materials for a full refund on the pre-paid membership fees in the unlikely event that our chapter is unable to conduct a clinic within 90-days from receiving the clinics materials and no additional clinics are scheduled.
Note: If the materials are not returned to the NAYS National Office in the time period specified by NAYS, our chapter will be in default of the pre-payment agreement, and the chapter will be placed on hold until a clinic is conducted or the materials are returned. |
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obtain clinician training materials from the NAYS National Office to recruit, train and supervise additional clinicians to support the chapter as needed. |
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Adhere to the Coach Accountability and Enforcement Policies when responding to a member’s violation to the Code of Ethics. |
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recognize all the training videos and clinic materials remain the property of NAYS. |
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protect all NAYS property issued to our chapter and not permit anyone who is not a NAYS clinician to use NAYS videos and/or materials at anytime for the purpose of instruction or duplication. |
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not use the training or materials received from NAYS for the development of our own youth sport volunteer training program. |
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return all training videos, clinic materials and paperwork upon request by NAYS Headquarters for failure to comply to NAYS' clinic policies and procedures. |
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recognize the inventory is assigned to the chapter not the chapter director or clinicians. If the chapter director leaves the chapter, the inventory is to remain at the chapter. If there are no other clinicians within the chapter to assume chapter director responsibilities, the videos and materials are to be returned to the NYSCA. |
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| I,
, as appointed NAYS chapter director, acknowledge and understand the policy and procedures indicated in this Agreement. |
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