Spring 2008

Bayshore Little League

Manager/Coach Registration

Last Name________________________   First Name_______________________

Address ______________________________________________ZIP__________

Contact Information:

Home________________________________                       Cell________________________________

Work ________________________________                      EMail________________________________

Fax________________________________

Driver’s License State_______             Driver’s License Number___________________________

Birthdate____________                                  Sex________     SS#___________________________

CIRCLE ONE

BASEBALL                                                   SOFTBALL

Child(ren)’s Names

1.  ______________________________                               3.  __________________________

2.  ______________________________

Which child and level do you wish to coach?  __________________________ or     _____no preference

Please describe your prior coaching experience:

I give Bayshore Little League permission to perform a background check required by Little League.

Signature__________________________________   Date__________