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Lafayette Girls Softball - Tippecanoe Softball
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Spring Coach and Assistant Coach Form
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First Name:
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Last Name:
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Street:
*
City:
*
Zip Code:
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Phone:
*
Email:
*
Age Group:
T-Ball 5-6, Head Coach
T-Ball 5-6, Assistant Coach
Pixie 7-8, Head Coach
Pixie 7-8, Assistant Coach
Cadet 9-10, Head Coach
Cadet 9-10, Assistant Coach
Juniors 11-12, Head Coach
Juniors 11-12, Assistant Coach
Minors 13-15, Head Coach
Minors 13-15, Assistant Coach
Daughter's Name (if applicable):
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Coach Shirt Size:
Small
Medium
Large
XLarge
XXLarge
XXXLarge
BACKGROUND CHECK
I understand that LGSL will perform a background check.
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MEDICAL/EMERGENCY CONTACT INFORMATION
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Emergency Contact:
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Phone:
WAIVER INFORMATION
In consideration of my involvement and participation in softball games, practices and other activities under the authority of the Lafayette Girls Softball League, I and my legal representatives, release, hold harmless and promise not to use the Lafayette Girls Softball League, its officers,directors, coaches, officials, employees, umpire, and agents or the ASA with respect to or in connection with any claim for injury or damage to person or property which I may suffer as a result of my involvement and participation in such games, practices and activities. I acknowledge that the sport of softball and the physical activities associated therewith present the risk of serious physical injury, including paralysis and death, and with such knowledge, I consent to such involvement and participation and assume all inherent risks therein.
I/we agree with the above
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I agree to attend the mandatory coach meeting.
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* indicates required fields