THOROLD LEGION MINOR BASEBALL

2013 COACHES APPLICATION

DO YOU HAVE KIDS PLAYING?_______________________________________________________________

DIVISION DESIRED T-BALL______ ROOKIE________ MOSQUITO__________ PEEWEE_________

BANTAM____________ MIDGET ___________ JUNIOR____________

APPLICATION INFORMATION

NAME FIRST/LAST

_______________________________________________________________

ADDRESS______________________________________________________________

HOME PHONE__________________________________________________________

CELL PHONE____________________________________________________________

E-MAIL________________________________________________________________

COACHING INFO &EXPERIENCE

YEARS COACHING BALL___________________ YRS PLAYING__________________

COACHING OTHER SPORTS_______________________________________________

NCCP#____________________________FIRST AID_________________________

DIVISION COACHED IN PAST_____________________________________________

DO YOU HAVE ASSISTANT COACHES_______________________________________

______________________________________________________________________

SIGNATURE____________________________________________________________

DATE_________________________________________________________________

POSITION HEAD COACH _____________________ASSISTANT COACH____________________