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County of Kauai

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4444 Rice St, Lihue, HI, 96766, US

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Kauai Police Activities League 2020 VOLUNTEER REGISTRATION

Practice

Mailing Address

Shirt Size

Work Information

If you have a child participating

Have you ever been convicted of a felony?

Have you ever been convicted of ANY crime involving or against a minor?

Have you ever plead guilty of or been convicted of ANY crime?

Have you ever been refused participation in any other youth programs?

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Please visit www.cdc.gov/headsup to access a free online concussion training course and email certificate to kpal@kauai.gov . If unable to complete the online training, you will be REQUIRED to attend a provided training before being allowed to coach. If you have received concussion training through another entity within the past year, please email certificate, as it may be accepted as a substitute.

As a condition of volunteering, I hereby grant permission to the Kaua’i Police Activities League (K-PAL) organization to conduct a background check on me, which may include a review of sex offender registries, child abuse and criminal history records. I understand that, if appointed, my position is conditional upon the league receiving no inappropriate information on my background. I hereby release and agree to hold harmless from liability K-PAL, it's Board Of Directors, the County of Kauai, the Kauai Police Department, the officers, employees and volunteers thereof, or any other person or organization that may provide such information. I also understand that, regardless of previous appointments, K-PAL is not obligated to appoint me to a volunteer position. If appointed, I understand that, prior to the expiration of my term, I am subject to suspension by the Director or Commissioner and removal by the Board of Directors for any and all violations of K-PAL policies or principles.

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The Kaua’i Police Activities League will not discriminate against any person on the basis of race, creed, color, national origin, marital status, gender, sexual orientation or disability. Please contact kpal@kauai.gov or 241-1647 if you have any questions. We will contact you regarding acceptance.