2018 Coach Registration Form
Glen Rock Baseball & Softball Association
P O Box 171, Glen Rock, NJ 07452
http://www.grbsa.org
First Name *
Your answer
Last Name *
Your answer
Street Address *
Your answer
Cell Phone Number *
xxx-xxx-xxxx
Your answer
Home Phone Number *
xxx-xxx-xxxx
Your answer
E-Mail Address *
Your answer
Select league(s) you are interested in coaching *
Required
Have you completed the Rutgers S.A.F.E.T.Y. Training (required)? *
Required
Have you completed a Background Check with the Borough of Glen Rock? *
Required
Please select as appropriate *
Required
All coaches are required to get a concussion certificate. If you have not done it already, please go to http://www.grba.org/concussion-certificate/ and follow instructions. *
Required
The GRBA considers the job 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. *
Required
I have read the information on this form and YES, I am the type of Coach the GRBA is looking for. I agree to abide by the Borough’s Field Hotline messages and understand that there may be loss of privileges if my team plays or practices on a closed field. *
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