CLUB SEAL ONLINE APPLICATION INFORMATION

Club Name:

Club Director:

Did You Pay the $100 Club Renewal Fee:

  Choose One YES NO

Have You Provided Proof of Being A Valid Florida Business:

  Choose One YES NO  

Have You Provided Proof of Being Registered with the IRS:

  Choose One YES NO  

Do You Certify That You Have Filed Your Previous Year's Tax Return With The IRS:

  Choose One YES NO   

Have You Provided Proof of D&O Insurance:

  Choose One YES NO N/A   (FOR NON-PROFITS ONLY!)

Did A Club Director Attend the Annual Jr. Forum Meeting:

  Choose One YES NO

Does the Club Director Live in Florida and Have a Current USAV Membership:

  Choose One YES NO

Does the Club Certify that all Youth/Junior Coaches in your Club with be Registered & Background Screened with USAV :

  Choose One YES NO

Does the Club Certify that all Youth/Junior Coaches in your Club will be IMPACT Certified:

  Choose One YES NO

Does the Club Director Agree to Comply with the Club Director Code of Ethics:

  Choose One YES NO

Does the Club Director Agree to Post the Spectator Code of Conduct at All Practice Facilities:

  Choose One YES NO

Does the Club have a Printed Handbook:

  Choose One YES NO

Does the Club Handbook have a Dispute Resolution & Refund Policy:

  Choose One YES NO

Does the Club Have the Harassment Policy Posted on your website:

  Choose One YES NO

Has the Club had any Incident Review Findings in the Past Two Years:

  Choose One YES NO

Has the Club received any Notices of Infraction in the Past Two Years:

  Choose One YES NO

Is the Club or Club Director on Probation or Suspension:

  Choose One YES NO

Person Submitting Information:

Date Submitted: