Chula Vista South Pony Baseball League

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Coach Application

* First Name:

* Last Name:

* Date of Birth:

* Address:

* City:

* Phone Number:

* Drivers License or ID Number:

Email:

* Position you are applying for:

* Division You are Applying for:

If Coach, Name the manager you will be assisting(if any):

* Have you ever been convicted of a felony?:

* Have you ever been convicted of a crime against children?:

* Have you ever been convicted of a crime relating to the use or sale of drugs?:

* Have you ever been kicked out as a Manager, or Coach from any youth sports organization. Volunteer:

Previous Experience as Manager, Coach, or Volunteer::

I understand that the information I have provided may be verified if necessary by obtaining a criminal records check and/or contacting persons or organizations that may have information concerning me. I hereby release and agree to hold harmless any person or organization that provides information. I also agree to hold harmless Chula Vista South Pony Baseball, Inc., and the officers and volunteers thereof. In checking the box in this application I affirm that the information I have given is true and correct.

I agree *

* indicates required fields

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Coach Application