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Coach Permission and Release Form 2025
Coach Permission and Release Form
Coach Permission and Release Form
*
By signing below, I certify that I understand that participation in LifeSmarts may require travel to other areas and/or states and may require me to miss some school or work. I am willing to agree to the following terms in order to participate in LifeSmarts: 1. I release and hold harmless the National Consumers League (NCL), sponsoring groups and /or organizations, their agents and /or employees, from any harm or damage to me or my property arising out of my participation in LifeSmarts. 2. I agree that NCL is the sole owner of the rights to the LifeSmarts name, program, logo, materials, copyrights and service marks and all royalties, income, and /or fees in connection with LifeSmarts. 3. I waive all claims for payment of money in connection with my participation in LifeSmarts. 4. I grant to NCL, its agents and/or licensees, my unrestricted permission to use and re-use my name, photograph, and other likeness in any media for any purpose and for use in publicity and advertising in all media.
Coach Name
First
Last
Team Name and State
Address
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Cell Phone Number
*
Email
*
Electronic Signature - Type your first and last name below
*
Date
*
Please include if you have an Assistant Coach
*
Assistant Coach Name
First
Last
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Cell Phone Number
Email Address
*
Date
*
Electronic Signature - Type your first and last name below
*
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