2019 Coach Registration Form
Glen Rock Little League
P O Box 171, Glen Rock, NJ 07452
http://glenrockll.org
First Name *
Your answer
Last Name *
Your answer
Street Address *
Your answer
Cell Phone Number *
Your answer
E-Mail Address *
Your answer
Select Division(s) you want to coach *
Required
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://headsup.cdc.gov/ to complete the online certification. *
Did you submit a background check last season for 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. *
Required
Treatment of kid and professional umpires. Click to agree. *
Required
Electronic Signature (Type name) *
Your answer
Submit
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