2018 Coach Registration Form
Glen Rock Baseball & Softball Association
P O Box 171, Glen Rock, NJ 07452
Cell Phone Number
Home Phone Number
Select league(s) you are interested in coaching
Tee Ball Baseball (K)
Tee Ball Softball (K)
Pee Wee 1 Baseball (1st)
Junior Softball League (1st & 2nd)
Pee Wee II Baseball (2nd)
Junior Baseball League (3rd & 4th)
Minor Softball League (3rd & 4th)
Pony Baseball League (5th & 6th)
Major Softball League (5th & 6th)
Senior Baseball (7th, 8th & 9th)
Senior Softball (7th & 8th)
Have you completed the Rutgers S.A.F.E.T.Y. Training (required)?
No (But I intend to)
Have you completed a Background Check with the Borough of Glen Rock?
No, but I will submit prior to the beginning of the season. Visit
Please select as appropriate
All coaches are required to get a concussion certificate. If you have not done it already, please go to
and follow instructions.
I have completed the concussion
I will complete the concussion certificate prior to opening day.
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.
I will be positive and encouraging.
I have a passion to TEACH the game to ALL players.
I will treat each and every kid on his team as well as those on other teams fairly and wants to see all kids in the program improve.
I will be a good role model and demonstrate good sportsmanship.
I will refrain from swearing and other behaviors that will set a poor example to my players.
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.
I DO NOT AGREE (PLEASE DO NOT SUBMIT AND CONTACT US WITH QUESTIONS)
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