ࡱ> IKHq` T bjbjqPqP *::THDPPPPd,___)"+"+"+")T"<'$,$I.h0H,_____H,],/ / / _ )"/ _)"/ / : !x P18YPiF! )"s,0,! 91v91!91!x__/ _____H,H,% ___,____PP"6D Northern Virginia Wrestling Federation VOLUNTEER COACH INFORMATION WAIVER  I, ______________________________, attest that I do not have a crimina1 or (PRINT full legal name) related background that would prevent me from being able to work with children. If you can not attest to the above or if there is any fact or circumstance involving you or your background that could call into question your being entrusted with the supervision, guidance and care of young people, please explain below: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ I affirm that the information I have given on this form is true and correct. __________________________________ ________________ signature of volunteer date __________________________________ name of club ________________________________________ ___________________ Witnessed by NVWF Club Administrator date '()LMNOPRS}4 6 ' ȼtldlYtMMMh(oPCJOJQJaJhKhKOJQJhROJQJhKOJQJhKCJOJQJaJhRXCJOJQJaJh$#CJOJQJaJh ]gCJOJQJaJh ]gCJOJQJhgCJOJQJhghg@KHOJQJjhg@KHOJQJUh ]gh ]gCJ h ]gCJ hePhePCJaJh ]gCJaJ hgCJ('()*MOPQR4 5 & ' 8 9 : < $a$$$d$Iu&#$+D)/a$gd ]g$Iu&#$+D)/a$T ' @ 7 8 : = H M } S T ϭrh(hg5CJOJQJaJhZUb5CJOJQJhR5CJOJQJh(5CJOJQJhZUbCJOJQJh(CJOJQJh{CJOJQJaJhZUbCJOJQJaJhgCJOJQJh ]gh(oPCJOJQJaJh(oPCJOJQJaJhAiCJOJQJaJ< = M N q T $a$gd{$a$(/ =!"#$% #Dd #(( <  C Abi#VFhw0EaZe`Rƅo '{3L+e2Dmaw4CRHo~zmc3OH====V6~SGx??ça!3{Fa1ïZ^k;nwW2%;y;V:]U{JB5ʲ՝"Cve]ֻw3ڞioo/&|N,= #=l6@=2¯D0'X#ø4L' ќ( I h//oIЇ z o$+QlCc~ ]~hIx{gaAUEe֏OT -  @љ!ot $2&` }8l} 3b/̐ U 2X̌. 8ò8>2l[8҂8 7`" lQ6ka ֣/>HPe0 g 5b(m֮H 2F>I)F3cF!+(Ɔ`WE1Qa*WFyÁF14,#,h[0 mG40<f0~m|D1E SffnȐHA OizRBNا'=`ӥ'3c,^6{5`xG՛ hGb D> yW*La?JFXP 6:65vq$iMz|2lF{DQgڱ}Q j>OAMSƁo*W&FuN鹉 \:k\F.C'keGDjK!4˨+1>5fH1]ƢuԔ\hˮr )ka؝ٟuPSl.73> ʐqŽ4~VUٌ~JvE'G|#uF~C)28vl>W=):/V;v$ЈedrDb@,꼍WZ2}QOFN #D[52+r+3w"SReƥ7gDXePo*,>bdܻ8Sxȃn`Ɛ1>[.8b; (FR|W(S2 6Mj$_Q6 ԞfG5F+Rp5z[_ CW,hTQWuOBo*J !#; /!+FF4{~?Ip| @ʿ)~C7C6$8 iu%X86C]K>caM}{C |!KCߠP%fN^:s|w?I`o@n2N3Ν+雉"ϚԐp'ȌY\5V*hdʜ$´-xͯ]'h/+[2!T$t-8 ψ1 Ô L*W 2: y;u`|O/뚁iٛq5OOqnoX0Ft vi쒽)Gk?c-6g=,Fb j?oϨ1g̘G~7Ʈ<ͷ!v=2s/GπNdhsCQ  gè7^̈́!5o?%G_m>,{~~gh?;C\Cf=c4%9gMW2@wd@zcŨ~| '_)wh6 &g15V_O_~ƣ!d+3gcF^_uFqQ˂!b6{KyXKwzp N2OA?׋sZjִ(W6b--Ȁu |H[!H9`YyC~ytp_ܕ"jHոaރ̫`(Ŋ4DP?2@J1x/(h2/C\=p,r`qm2@!<9qѷQFb$3U13dߐ[3HB ``彞XY,Wx=23*{0T`aO4RE/Xw#=<1&dY)|&l73h U,q0Wd 4 FuFp H`h`4A=G$P 0Ѯz53} uY3G&B#S NwA52'eTҬeC%j9i18x62c<=Iìۥz $Y0^ .8he?28MmCv eM5W0TNmv=P% /wX;C=3.ganXV.&hZ0FbZw; H'G{i-gq(\nhᾤlΠӣ2\8JUNdLӈ AO[:;X`a`zl tѸ¼80/aQ^ q^!`gH{{`^ I+oB/3dЩN ps bš1 %x`3|8kt`iTf0RE`htA*(-. 瞫>ePR`Ǫo@L}}9ӤcÀ^ cN o=?/KFoF߀| 5 ٱ hѱĀ~q;/.2 d61Bo / a'gwiyZZJ43b :*DO c$N㏈1bK ӏs-3ϙ1 ? b _>},1`ЊiKo0$0pR#79W9E\2*Ve@.ȃ¸L>zp=0(V%Ç.)6P)3m̈́"4r釚elGi҇40Y.[1XXpF̅$n%op'B; 0pl3&D01w5=sk)Kⅈ`t =gȰB'XMȘ,:Ѥe50xcoY0#1`1 јOd|14@1xmԉS>K}*H.2pc ja\A;X~lW2&(-_kja|Tq23f[)8 1f4E8Pe>1__כ7 pI:%#[0# ķȸD_vGMxG}Ζ oé!;1@CX*1` _V בqxwu/I/O=:|f#NtÀiN[3teo_faћ/upbf E.LV3+*DHLMUj231/1ά[0d/Oх,aFʀi䉡haR?:O7\mi1eAIw%#%#_6WOٜr X&e L#C2#~tY;#],X)9+ ~ M:OC-' K"HFƈGBq/? Bx$!X0>6 3ecp PeF #i_̫g Qct^=F; H/ˆZ2Ȉ'Dr23 "~/seT>ʰT[2Z+Nz9 [U1X/_yϮ>ՙ]c%4"//z.N-h&2TQ0~U)VcftS4u1/2MHgE[ \cfmp[ׅ!g;rճuN9 ; m |H%c8C#gX{A)2 ֪ 3LD$3ZZ//O%m̌6c =FiH5TU9^vFDc[IG;K}0hX0XSi͠Yߦ js#[1x0O91!78{ ˥!xim;]gQmJ8v2O .* kvvڀPn?Γz`R8|:-bȜ1nbCmA&ƐCX&tj0[ Ĉk0X֜,[`8 Az{O~yi} -9C;qеf=sDj}g .;d*}>CO2\y!͐Gr#hlޖnF "C I3Zi1ҩ!~an:g\`1p"Ǧ]m d Kd 6 ")f~83 xXc믶K NoFok*i1I9*ӈ'[=P<#KC;2[r9\Uֆ;lb0\8?6I~x/1JFCKF;@3ѵ \sÆ6.fɚ۷8zZ͖<>χ6[Vi0(^ qb44V+62zmwφ;OFJd'3tbTۦul=흠M־57M'W}葱c*>yng W2hcy1u ;Ec.ףIc^6++F:<0.c^3P'2j pk0B 0[5w#cg'2R6G&0hhT eaÞsFܴq uo|,1-#{nl=*/2xE1.vH3"47nrW$%/OkƐe,2_^9BuӚq1bM.H|22].22朁u<0ĒчȘ× |upA'!b9㻜AfONy10\d>&k80zkXaLQmxE Jta&">14(J~CUja09 xI }3ڐ'C]7 2SR~AF D! F_u%-dA"޽fDcA#TDo]dd`Y`qw0HZSdyF >10\{bODI_%+]Ă1 - h)|/hc]4M': )P&2zzfc94en.q! zӃK- J{SJa(P(<4rbj3 -i.3Ff1 efj0S6dz^O(#_b_C3\`p.{0S>#cjú00`ʝ/9H613_cK_ʒob5]#:5uњ F`R0^vLg CG"u m"<ӊ!Qw>{z=Iy=ƓA֟1LܶKg~ả|NnQw!֕ ׄ¯}.C\4*+SO}}R Q嚊FM:`'mJuD*vX #-_x!֚-`ښ)/Ѭ-pU<>ۆñ^>?f 1|Q?{U7fJ}CEnSvj*'5m3VBQlJV|Upm-ܔ "ݑTM 7b]q|sdM RD68@NW#޵1Sd[BtW: n?}S]1'2`er 'EV4+. ~15zF`p8>[ >f~nXoNே9{Pr4k>W~w}FВ.=#ZzL(` RZ'rx@B_arvwˌy#8ȍ#"3('5e91pk *SW.ll ; 5> :MgDR "/N dCәN<4a27̎y4 O;*I'"}m/9 q/"6|buv4YW<|p/Biuv (:_7Ţi߱U6aߋ(y͜nqLFjpdy*F{7KxƱe%=~C6Gb@]`y8ebj 23G0>,1z )i ΄z`B#vC9YE%4ȰGTsouK毮jx=GKcaF7,#[\b_zA!Iߜn:r/P{`z4IDAT ̙cMC(f&-S{Γ8=\ GUa!gTdCFcjaŸ/o=f3؊%\? ED1$w툁99]\vQ`01b 3z~=Dc hT٠^;+/@(jaqKE3Wsc&q `qFO5R5[ hmj bw<+r"2ϣR}~KiȫղҿyDV 2qK$taR2 C ⸵H& ~ ln'C_Tq|Bo  L˯^B[E Y;~A822CraȓDBp$f}gq7g`X .hXqmi" C1Sokٝ1cHcO Gm Kӛ8&|aI>fE㍟ׯNG 77őv}iP w$ f*U~ "C7ܩXOo'IKցM> N.+:u3BaٝR-P%wJC̝R}O"> Footnote Base$CJNO2N Block Quotation$]^<OB< Body Text Keep$8?@b8 Closing$$<a$ROqR Signature Company Name $a$:@@r: Signature $BOqB Signature Name $pa$LOqL Signature Job Title $a$NON Reference Initials$$:O: Enclosure$$$a$:O: CC$$h^h`a$jOj Company Name#$dy&P#$+D؆0$a$@CJ OJQJkH.". CaptionCJ.O. Picture$:L@: Date $0$^a$BOB Inside Address !$a$FO2F Attention Line"$a$:K@B: Salutation #$a$JOJ Subject Line$$a$@OJQJkHN*N Endnote ReferenceCJH*OJQJkH4+!b4  Endnote Text&f$@rf Envelope Address,'@ &#$+D./^@ P%@P Envelope Return($0$a$@CJ0 @0 Footer)XCJJOJ Header Base*$$ !a$D&D Footnote ReferenceCJH*:!:  Footnote Text,,@, Header-XHOH Lead-in EmphasisCJOJQJkH>(@> Line NumberCJOJQJkH4/@4 List0^`0@ List Bulleth1 & F>Th]1@" List Numberh2 & F>T8h]B-2B  Macro Text3d OJQJkHB)@B Page NumberCJH*OJQJkHpORp Return Address25$$ pd(&P#$+D0$a$@CJ2Oa2 SuperscriptH*>=@!r> List Number 5 7p^p><@!> List Number 4 8^>;@!> List Number 3 9^:@! List Number 2a:8>T8h^8>9@> List Bullet 5 ;p^p>8@> List Bullet 4 <^>7@> List Bullet 3 =^>6@> List Bullet 2 >8^805@0 List 5 ?p^p04@0 List 4 @^03@0 List 3 A^02@"0 List 2 B8^8DC@2D Body Text Indent Ch^h8X@A8 EmphasisCJOJQJkH>'Q> Comment ReferenceCJFD@bF List ContinueF]`BE@arB List Continue 2 G8^8BF@aB List Continue 3 H^BG@aB List Continue 4 I^BH@aB List Continue 5 Jp^p>@> Normal Indent Kh^h4O4 SloganCJOJQJkHT zT'()*PQR45&'89:<=MNqVtwt#t#tԎtԎ$x$x$/$hG$/$/$/$/$/$/$/$/$/$x$x$/$/$/$/$/$/$/$/$/$/$/$x$x$x$x$x'()*MOPQR45&'89:<=MNqV00000000000000000000000000000000000000' T  < T  T 8@0(  B S  ?VquV:::::''()*PP=HLNSVVy \c @hh^h`.hh^h`.yy1OyX1O\c 1O b@hh^h`.d1O @hh^h`.v UI{U-1"$#y=(oPRRRXZUbg ]gAiePKR.32(X5y@Lexmark E238LPT1:winspoolLexmark E238Lexmark E238 XX⤗Lexmark E238Lexmark E2386Lexmark E238 Rx_2P C s(+#>,A>⤗XX r⤗Lexmark E238 XX⤗Lexmark E238Lexmark E2386Lexmark E238 Rx_2P C s(+#>,A>⤗XX r⤗SS!O!!SST@@UnknownGz Times New Roman5Symbol3& z Arial?& Arial Black3z Times;& z Helvetica?5 z Courier New"h.&=(y  !24dRR3HP(? 2&Northern Virginia Wrestling FederationThe Dorf   Oh+'0 (4 T ` l x(Northern Virginia Wrestling Federation The Dorf Normal.dot 6Microsoft Office Word@@{ts@k@iY՜.+,0$ px  Home R 'Northern Virginia Wrestling Federation Title  !"#$%&'()*+,-./012345679:;<=>?ABCDEFGJRoot Entry F58YLData  #1TableM1WordDocument*SummaryInformation(8DocumentSummaryInformation8@CompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q