2021 Athletics/Titans Coach Registration Form (Turtle Club Baseball and Softball)
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2021 Athletics/Titans Coach Registration Form
Thank you for volunteering to be a coach with LaSalle Athletics Softball and/or LaSalle Titans Baseball. Please complete all sections below and submit this form prior to any participation in any coaching activity in the 2021 season.
Identification
First Name
*
Last Name
*
Phone Number
*
Example: ###-###-####
Email Address
*
Example:
[email protected]
Home Address
*
Team Affiliation
What 2021 Team(s) are you a coach for?
*
Athletics U10 (Gee)
Athletics U10 (Wilson)
Athletics U12 (Potter)
Athletics U12 (Mayville)
Athletics U14 (Hancock)
Athletics U14 (Bissonnette)
Athletics U16 (MacNeill)
Athletics U19 and Intermediate (Hunt)
Titans 8U (Dufour)
Titans 9U (Bissonnette)
Titans 9U (Cardinal)
Titans 10U (Scharlach)
Titans 10U (Nickleson)
Titans 11U (Layson)
Titans 11U (Naccarato)
Titans 12U (Sivell)
Titans 12U (Fortin)
Titans 13U (Mayer)
Titans 13U (Diotte)
Titans 14U (Wharram)
Titans 15U (Tracey)
Titans 16U (Seguin)
Titans 17/18U (Carr)
Check All That Apply
Certification
NCCP #
*
Completed Coach Certification
*
Respect in Sport Activity Leader
Foundations of Coaching Softball Part 1
Foundations of Coaching Softball Part 2
Making Ethical Decisions Online Evaluation (Softball)
Competition-Introduction, Softball Trained (Weekends 1 and/or 2)
Competition-Introduction, Softball Certified (Weekends 1, 2 and 3 (On Field Evaluation))
Coach Initiation in Sport/Baseball (Fundamentals)
Initiation Clinic (Baseball)
Teaching and Learning Clinic (Baseball)
Infielding Clinic (Baseball)
Hitting Clinic (Baseball)
Pitching and Catching Clinic (Baseball)
Absolutes Clinic (Baseball)
Baserunning Clinic (Baseball)
Planning Clinic (Baseball)
Regional and Provincial Coach Online Portfolio (Baseball)
Outfielding Clinic (Baseball)
Strategies Clinic (Baseball)
Practice Evaluation (Baseball)
Game Evaluation (Baseball)
Check All That Apply
Rowan's Law (Concussion Safety) Acknowledgment
I have, within the last 12 months, reviewed the concussion awareness resources of the Province of Ontario and the respective concussion code of conducts of PWSA (if softball coach), Baseball Ontario (if baseball coach) and Turtle Club/LaSalle Athletics/Titans.
Link to Province of Ontario Concussion Resources Webpage
Link to PWSA Concussion Code of Conduct
Link to Baseball Ontario Concussion Code of Conduct
TC_Concussion_Code_of_Conduct_for_Coaches_and_Trainers
I certify the above.
*
Police Clearance
Have you obtained a Police Vulnerable Sector Check (VSC) within the past 3 years?
*
Select One...
Yes, and it has been previously provided to LaSalle Athletics/Titans
Yes, and I am uploading it with this registration form
Yes, and I will provide it to LaSalle Athletics/Titans at a later date
No, but I will obtain and provide one prior to my participation as a coach (see links below)
VSC Attachment
Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx, .xls, .xlsx, .ppt, .pptx.
Maximum # Files: 1. Maximum File Size: 4MB.
Popular Police Clearance Links
LaSalle Police Service - Police Clearance Webpage
VSC_Request_-_LaSalle_Police_Service
Windsor Police Service - Police Clearance Webpage
VSC_Request_-_Windsor_Police_Service
Ontario Provincial Police - Police Clearance Webpage
VSC_Request_-_Ontario_Provincial_Police
RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT
TC/LaSalle Athletics/LaSalle Titans Release of Liability, Waiver of Claims and Indemnity Agreement
I have read, understand and agree with the provisions of the above-linked release, waiver and indemnity agreement ("Agreement") and acknowledge that the submission of this registration form constitutes my electronic signature to the Agreement.
*
Human Validation
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*
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