2021 Manager/Coach Registration Form
Glen Rock Little League
P O Box 171, Glen Rock, NJ 07452
First Name *
Last Name *
Street Address *
Cell Phone Number *
E-Mail Address *
Select Division(s) you want to coach *
Have you completed the Rutgers S.A.F.E.T.Y. Training (required)? *
All coaches are required to get a concussion certificate. If you have not done so already, please go to https://www.cdc.gov/headsup/youthsports/training/index.html to complete the online certification. *
Have you previously submitted a background check for Glen Rock Little League? *
Please select the level of coaching you are interested. *
Glen Rock Little League considers the role of coaching a very important part of our organization and we take the selection very seriously. Please check the boxes below to affirm that you agree to fulfill the listed qualities. *
Treatment of kid and professional umpires. Click to agree. *
Electronic Signature (Type name) *
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