2019 Rep Coach Registration Form (Oakville Minor Baseball)
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2019 Rep Coach Registration Form
Coach Information
First Name
*
Last Name:
*
Gender
*
Male
Female
Address:
*
City:
*
Postal Code:
*
Phone Number:
*
Example: ###-###-####
NCCP #:
*
Six or seven digit Coach Canada or NCCP number
Email Address:
*
Example:
[email protected]
Team Registering with:
*
Select One...
Minor Rookieball Team 1 - Head Coach Myron Bien
Minor Rookieball Team 2 - Head Coach Tom Edwards
Major Rookieball Team 1 - Head Coach Justin Le Dressay
Major Rookieball Team 2 - Head Coach Jay Villa
Major Rookieball Team 3 - Head Coach Ryan Jones
Minor Mosquito Team 1 - Head Coach Alan Mangaroo
Minor Mosquito Team 2 - Head Coach Nick Calabrese
Minor Mosquito Team 3 - Head Coach Tim Ashton
Major Mosquito Team 1 - Head Coach Nathan Brown
Major Mosquito Team 2 - Head Coach Bryan Woods
Major Mosquito Team 3 - Head Coach Brent Collver
Minor Peewee Team 1 - Head Coach Mike Rogers
Minor Peewee Team 2 - Head Coach Greg Young
Minor Peewee Team 3 - Head Coach Daniel Farfan
Major Peewee Team 1 - Head Coach Dan Marion
Major Peewee Team 2 - Head Coach Deron Waldock
Major Peewee Team 3 - Head Coach Rob Merwin
Minor Bantam Team 1 - Head Coach David Gillespie
Minor Bantam Team 2 - Head Coach Raj Kandola
Minor Bantam Team 3 - Head Coach Michael Dombek
Major Bantam (BEL) Team 1 - Head Coach Scott Kirkpatrick
Major Bantam Team 2 - Head Coach Kyle Liberto
Major Bantam Team 3 - Head Coach Kanti Dinda
Minor Midget Team 1 - Head Coach Ralph Singh
Major Midget Team 1 - Head Coach Eric Belanger
Junior Men Team 1 - Head Coach Richard Griffin
Documentation
Police Clearance:
Allowed extensions: .jpeg, .jpg, .png, gif, .pdf.
Maximum # Files: 1. Maximum File Size: 4MB.
Please attach a current (must be dated Sept 2017 or later) copy of your Police Records Check – Vulnerable Sector Screening
I will provide Baseball Oakville with an original copy of my Police Clearance upon request.
I agree to the terms and conditions stated above
*
I acknowledge that it is my responsibility to have the required coaching courses for the team/level I am coaching by no later than May 1, 2019.
I agree to the terms and conditions stated above
*
Human Validation
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*
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Printed from baseballoakville.com on Saturday, October 20, 2018 at 6:13 AM
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