2022 Athletics/Titans Coach Registration Form (Turtle Club Baseball and Softball)
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2022 Athletics/Titans Coach Registration Form
Identification
First Name
*
Middle Name(s)
Last Name
*
Phone Number
*
Example: ###-###-####
Email Address
*
Example:
[email protected]
Home Address
*
Team Affiliation
What 2022 Team(s) are you a coach for?
*
Athletics U11 (Gee)
Athletics U11 (Wilson)
Athletics U13 (Potter)
Athletics U13 (Mayville)
Athletics U15 (Morrison)
Athletics U15 (Bissonnette)
Athletics U17 (MacNeill)
Athletics U23 and Intermediate (Hunt)
Titans 8U (Davies)
Titans 9U (Dufour)
Titans 8U/9U (Saunders)
Titans 10U (Bissonnette)
Titans 11U (Skene)
Titans 11U (Brown)
Titans 12U (Brnardic)
Titans 12U (Naccarato)
Titans 13U (Sivell)
Titans 13U (Pearson)
Titans 14U (Diotte)
Titans 14U (Ingratta)
Titans 15U (MacArthur)
Titans 16U (Tracey)
Titans 17U (Cull et al.)
Titans 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.
*
COVID-19 Vaccination Status
Are you fully vaccinated against COVID-19?
Select One...
Yes, and I am uploading certification of this with this registration.
Yes, and certification of this has been previously provided to LaSalle Athletics/Titans.
Yes, and I will provide certification of this to LaSalle Athletics/Titans at a later date.
No, but I will be, and will provide certification of this to LaSalle Athletics/Titans, prior to my participation as a coach.
Attach COVID-19 Vaccination Certificate
Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx, .xls, .xlsx, .ppt, .pptx.
Maximum # Files: 1. Maximum File Size: 4MB.
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 (if a VSC dated within the past 3 years has not been previously provided)
Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx, .xls, .xlsx, .ppt, .pptx.
Maximum # Files: 1. Maximum File Size: 4MB.
There have been no changes to my criminal record since I last submitted a VSC and/or Enhanced Police Information Check and/or Screening Disclosure Form. There are no outstanding charges and warrants, judicial orders, peace bonds, probation or prohibition orders, or applicable non-conviction information, and there have been no absolute and conditional discharges. Any VSC and/or Enhanced Police Information Check and/or Screening Disclosure Form that I would obtain or submit on this date would be no different than the last VSC and/or Enhanced Police Information Check and/or Screening Disclosure Form that I submitted. I understand that if there have been any changes, or if I suspect that there have been any changes, it is my responsibility to obtain and submit a new VSC and/or Enhanced Police Information Check and/or Screening Disclosure Form. I recognize that if there have been changes to the results available from the VSC and/or Enhanced Police Information Check and/or Screening Disclosure Form, and that if I submit this form improperly, then I am subject to disciplinary action and/or the removal of volunteer responsibilities or other privileges.
I certify the above-noted acknowledgment.
*
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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Printed from turtleclubbaseball.com on Thursday, March 30, 2023 at 7:48 PM
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