Northside Christian Softball League - (Fishers, IN)

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Church Representative Form

CHURCH OR ORGANIZATION INFORMATION

* Name:

* Street:

* City:

* State:

* Zip Code:

* Phone:

STAFF/ LAY LEADER CONTACT INFORMATION

* First Name:

* Last Name:

* Title:

* EMail:

* Work Phone:

Cell Phone:

* Coaches that I am aware of representing our church::

Additional Comments:

Church Representative Acknowledgement

By Signing below, you agree that the information that has been provided on this form is true and accurate to the best of your knowledge. You also acknowledge that the person(s) to coach the team(s) will be one(s) that fit(s) the criterea of the Coach's Agreement and can abide by and enforce the rules on the team. You should also receive an email for each team that registers you as a church representative. If you receive an email that has a coach that you do not agree should be in that position, you will notify the Northside Christian Softball League immediately.

I/we agree with the above *

* Full Name:

* indicates required fields