Rock Chapel Park Youth Association 1116 Rock Chapel Road ...

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Rock Chapel Park Youth Association 1116 Rock Chapel Road, Lithonia, Georgia 30058 Coaches Equipment Sign off form

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Date Received

Coach Age Director Date Initial Group Returned Initial

Tee Catching Equipment Helmet Leg Guards Chest Protector Gloves/Mitt Equipment Bag Bucket Bats Equipment Bag Upon my departure or relieving of my coaching responsibilities at Rock Chapel I hereby understand that if the above items are not returned, the cost of the item(s) will be charged against me. Age Group: Coach: ___________________________ ___________________________

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Coach Signature

Date