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Get Cysa Timber Baron Select & Premier Coach Application Form

BE A SELECT COACH FOR THE 2012-2013 SEASON.** Name: Address: Address: Phone Home: Email Address: Work: Cell: Team staff (both Coaches and Managers) are required to have a Risk Management Assessment Number. Enter RMA number and expiration date below. RMA# Expiration Date: Application for: Head Coach Age Group (U11-U19) Do you have a player in this age group? Coaching No. of years coaching Background: Club Year Assistant Coach Boys / Girls Yes No Previous clubs (provide information below).

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