Roster Coach Authorization
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ABCDEFGHIJKLMNOPQRSTUVWXY
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CYC COACH/ROSTER AUTHORIZATION
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High School
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PARISH/SCHOOL:SPORT:
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(Indicate Yes or No)
(The date of completion needs to be indicated here.)
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GENDER
Coach's NameHead
Assistant
CoachesProtectingCode ofBackground
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(M/F)CoachCoachID #
God's Children
Ethical ConductCheck
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I authorize the submission of the rosters for the teams listed above to the CYA.
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Signature of Pastor/Principal /Child Safety Coordinator or Authorized Representative:
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(Signature)
(Date)
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List all coaches on the roster for each team. A District cannot accept rosters or place a team into their leagues without the ROSTER AUTHORIZATION FORM (s) being filled out completely, properly signed and submitted with the rosters
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