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<body lang=3DEN-US link=3Dblue vlink=3Dpurple style=3D'tab-interval:.5in'>

<div class=3DSection1>

<p class=3DMsoTitle>LFYAA Team Staff</p>

<p class=3DMsoTitle style=3D'margin-left:9.0pt'><span style=3D'font-size:12=
.0pt;
mso-bidi-font-size:10.0pt;color:red'><a href=3D"http://www.lfyaa.org/">http=
://www.LFYAA.org</a><o:p></o:p></span></p>

<p class=3DMsoHeader align=3Dcenter style=3D'text-align:center'><span
style=3D'font-size:12.0pt;mso-bidi-font-size:10.0pt'><o:p>&nbsp;</o:p></spa=
n></p>

<p class=3DMsoNormal><b><span style=3D'font-size:12.0pt;mso-bidi-font-size:=
10.0pt'><o:p>&nbsp;</o:p></span></b></p>

<p class=3DMsoNormal><b><span style=3D'font-size:12.0pt;mso-bidi-font-size:=
10.0pt'>SPORT:</span></b><span
style=3D'font-size:12.0pt;mso-bidi-font-size:10.0pt'> ______________<span
style=3D'mso-spacerun:yes'>                                                =
               
</span><b>DATE:</b> _________________<o:p></o:p></span></p>

<p class=3DMsoNormal><b><u><span style=3D'font-size:12.0pt;mso-bidi-font-si=
ze:10.0pt'><o:p><span
 style=3D'text-decoration:none'>&nbsp;</span></o:p></span></u></b></p>

<p class=3DMsoNormal><b><span style=3D'font-size:12.0pt;mso-bidi-font-size:=
10.0pt'>LEAGUE/AGE
GROUP:</span></b><span style=3D'font-size:12.0pt;mso-bidi-font-size:10.0pt'>
________________<span style=3D'mso-tab-count:2'>                      </spa=
n><b>TEAM
NAME:</b> _________________<o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:12.0pt;mso-bidi-font-size:10.=
0pt'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:12.0pt;mso-bidi-font-size:10.=
0pt'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'tab-stops:list 2.75in'><span style=3D'font-si=
ze:12.0pt;
mso-bidi-font-size:10.0pt;mso-bidi-font-weight:bold;mso-bidi-font-style:ita=
lic'>Please
Attach a Completed County Background Check Form for each person who has not
completed one within the past three (3) years. County Background Check Forms
may be obtained in the LFYAA Fieldhouse Office or via the <st1:place w:st=
=3D"on"><st1:PlaceType
 w:st=3D"on">County</st1:PlaceType> <st1:PlaceName w:st=3D"on">WEB Page</st=
1:PlaceName></st1:place>
–<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'tab-stops:list 2.75in'><span style=3D'font-si=
ze:12.0pt;
mso-bidi-font-size:10.0pt;mso-bidi-font-weight:bold;mso-bidi-font-style:ita=
lic'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'tab-stops:list 2.75in'><span style=3D'font-si=
ze:12.0pt;
mso-bidi-font-size:10.0pt;mso-bidi-font-weight:bold;mso-bidi-font-style:ita=
lic'><span
style=3D'mso-spacerun:yes'> </span><a
href=3D"http://www.aacounty.org/RecParks/sports/background_check_form.PDF">=
http://www.aacounty.org/RecParks/coaches_information/resource/background_ch=
eck_form.PDF</a><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'tab-stops:list 2.75in'><span style=3D'font-si=
ze:12.0pt;
mso-bidi-font-size:10.0pt;mso-bidi-font-weight:bold;mso-bidi-font-style:ita=
lic'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'tab-stops:list 2.75in'><span style=3D'font-si=
ze:12.0pt;
mso-bidi-font-size:10.0pt;mso-bidi-font-weight:bold;mso-bidi-font-style:ita=
lic'>This
Team Staff Form and the County Background Check Forms <u>MUST</u> be comple=
ted
and returned to your League Vice-President at least two (2) weeks prior to
Opening Day. Additionally, any changes to the Team Staff will require this =
form
to be completed again and returned to the League Vice-President immediately.
This is <u>NOT</u> optional. <o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:12.0pt;mso-bidi-font-size:10.=
0pt'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:12.0pt;mso-bidi-font-size:10.=
0pt'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:12.0pt;mso-bidi-font-size:10.=
0pt'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal><b><span style=3D'font-size:12.0pt;mso-bidi-font-size:=
10.0pt'>MANAGER
NAME &amp; PHONE NUMBER &amp; EMAIL ADDRESS:<o:p></o:p></span></b></p>

<p class=3DMsoNormal><span style=3D'font-size:12.0pt;mso-bidi-font-size:10.=
0pt'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:12.0pt;mso-bidi-font-size:10.=
0pt'>______________________________________________________________________=
______<o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:12.0pt;mso-bidi-font-size:10.=
0pt'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal><b><span style=3D'font-size:12.0pt;mso-bidi-font-size:=
10.0pt'>ASSISTANT
COACH NAME &amp; PHONE NUMBER &amp; EMAIL ADDRESS:<o:p></o:p></span></b></p>

<p class=3DMsoNormal><span style=3D'font-size:12.0pt;mso-bidi-font-size:10.=
0pt'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:12.0pt;mso-bidi-font-size:10.=
0pt'>______________________________________________________________________=
______<o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:12.0pt;mso-bidi-font-size:10.=
0pt'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal><b><span style=3D'font-size:12.0pt;mso-bidi-font-size:=
10.0pt'>ASSISTANT
COACH NAME &amp; PHONE NUMBER &amp; EMAIL ADDRESS:<o:p></o:p></span></b></p>

<p class=3DMsoNormal><span style=3D'font-size:12.0pt;mso-bidi-font-size:10.=
0pt'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:12.0pt;mso-bidi-font-size:10.=
0pt'>______________________________________________________________________=
_______<o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:12.0pt;mso-bidi-font-size:10.=
0pt'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal><b><span style=3D'font-size:12.0pt;mso-bidi-font-size:=
10.0pt'>ASSISTANT
COACH NAME &amp; PHONE NUMBER &amp; EMAIL ADDRESS:<o:p></o:p></span></b></p>

<p class=3DMsoNormal><span style=3D'font-size:12.0pt;mso-bidi-font-size:10.=
0pt'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:12.0pt;mso-bidi-font-size:10.=
0pt'>______________________________________________________________________=
_______<o:p></o:p></span></p>

<p class=3DMsoNormal><b><span style=3D'font-size:12.0pt;mso-bidi-font-size:=
10.0pt'><o:p>&nbsp;</o:p></span></b></p>

<p class=3DMsoNormal><b><span style=3D'font-size:12.0pt;mso-bidi-font-size:=
10.0pt'>TEAM
PARENT NAME &amp; PHONE NUMBER &amp; EMAIL ADDRESS:<o:p></o:p></span></b></=
p>

<p class=3DMsoNormal style=3D'tab-stops:list 2.75in'><span style=3D'font-si=
ze:12.0pt;
mso-bidi-font-size:10.0pt;mso-bidi-font-weight:bold;mso-bidi-font-style:ita=
lic'><o:p>&nbsp;</o:p></span></p>

<div style=3D'mso-element:para-border-div;border:none;border-bottom:solid w=
indowtext 1.5pt;
padding:0in 0in 1.0pt 0in'>

<p class=3DMsoNormal style=3D'tab-stops:list 2.75in;border:none;mso-border-=
bottom-alt:
solid windowtext 1.5pt;padding:0in;mso-padding-alt:0in 0in 1.0pt 0in'><span
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mso-bidi-font-style:italic'><o:p>&nbsp;</o:p></span></p>

</div>

<p class=3DMsoNormal><b><span style=3D'font-size:12.0pt;mso-bidi-font-size:=
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<p class=3DMsoNormal><b><span style=3D'font-size:12.0pt;mso-bidi-font-size:=
10.0pt'>IF
MORE COACHES OR TEAM PARENTS, PLEASE ADD TO BACK OF THIS FORM.<o:p></o:p></=
span></b></p>

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