HEAD COACH & ASSISTANT COACH APPLICATION FORM BLAINE YOUTH BASEBALL/FAST PITCH
Head Coach
2677 BELL ROAD
Assistant Coach
BLAINE, WA 98230 Please Print All Information Clearly Coach’s Name: Address: City/State: Zip Code: Home Phone:
Age:(optional) E-mail Address: Cell Phone: Work Phone: Home Phone:
Do You Have Children Playing? Child’s Name
Child’s Team
Date of Birth
Child’s Name
Child’s Team
Date of Birth
Check Program Preference & Level T-ball
Rookies
Minors
Majors
8U
10U
12U
Coaching Experience: Organization
Team
Position
From Date to Date
Organization
Team
Position
From Date to Date
Organization
Team
Position
From Date to Date
Organization
Team
Position
From Date to Date
Playing Experience:
Coaching References: Name
Phone
Name
Phone
Authorization: Will you allow a background check by BYBF?
Yes
Signature
No
Date
Please Mail To:
BYBF 2677 Bell Road 2677 Blaine, WA 98230
Questions – Call (360) 332-5335
e-mail to:
[email protected] If you feel there is additional information which is relevant, please attach the information to this application.