2021 Athletics/Titans Coach Registration Form (Turtle Club Baseball and Softball)

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2021 Athletics/Titans Coach Registration Form

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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^*

Required

Last Name^*

Required

Phone Number^*

Required

Example: ###-###-####

Email Address^*

Required

Example: [email protected]

Home Address^*

Required

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 #^*

Required

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?^*

Required

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.^*

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