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