Walkertown Little League

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Manager/Coach Application

* Name:

Email Address:

* Phone Number:

* Social Security Number:

* Date of birth:

* Address:

* Driver's License Number, State, Expiration Date:

* Do you wish to be the:

* For which division?:

* Do you have a child playing in this division?:

If you answered yes, please list your child's name:

Being a Manager / Coach carries added responsibilities of helping make the league stronger by following Little League guidelines. To build a stronger league we need your Support and help on fundraisers.
Please understand by taking a leadership role in Walkertown Little League REQUIRES your help with Fundraisers, and to Communicate information to the players / parents.
The president of the League will propose a plate of candidates to the Little League board for approval to hold such positions, by signing below you agree to support these efforts.

Signature:

Date:

* indicates required fields

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Manager/Coach Application