Travel Program Coaching Application


MEDICAL/EMERGENCY CONTACT INFORMATION

Coaching Qualifications
The following courses are required for Rep coaches only.
7 digit number assigned by NCCP

NCCP Coaching Qualifications
Check all that Apply.

Coaching Experience
Which team would you like to coach and at what level?
Are you currently under probation or suspension from coaching duties within any school or community sport program?
Do you have criminal charges pending?
If yes to any of the above 3 questions, please provide details.

References
Please provide the names and contact information for two references. Note that these individuals may be contacted for reference information on your coaching application.

USE OF EMAIL ID:
The email id(s) provided above will be used for coach communication by PMBA throughout the baseball season. Please notify the PMBA Registrar via the PMBA website (www.pmba.ca) to have an email id removed from the coaches mail list.

Coaching Applicant Consent
**Coaching positions are contingent upon your child successfully securing a spot on the team if you have a child trying out.

* required

  
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