CUYB Coach's Registration
Carmel Unified Youth Baseball
http://www.carmelyouthbaseball.com
Child/Participant's Information
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First Name
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Last Name
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School
Tularcitos Elementary
Carmel River School
Captain Cooper
Junipero Serra School
All Saints' Episcopal Day School
Robert Louis Stevenson
Carmel Middle School
Carmel High School
Other
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Grade
K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
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Division (as of May 1st, 2012)
Shetland (ages 5-6)
Pinto (ages 7-8)
Mustang (ages 9-10)
Bronco (ages 11-12)
Pony (ages 13-14)
Colt (ages 15-16)
Coach's Contact Information
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Relationship to Participant:
Mother
Father
Guardian
Grandparent
Other
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First Name
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Last Name
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Address 1
Address 2
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City
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State
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Zip
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Home Phone
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Cell Phone
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Work Phone
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Email Address
Please email me updates
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Birth Date
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Participation Level
Manager
First Assistant
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Are You NYSCA Certified?
Yes
No
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Previous Coaching Experience (ie. CUYB, YMCA, etc.)
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Why would you like to coach or manage a team? (Brief narrative)
Background Check Authorization - Online Signature
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Online Signature: By checking the "I Agree" button, you are agreeing to, upon request, to provide CUYB with your social security number and to give CUYB authorization to run a background check.
I Agree
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Indicates Response Required