Milwaukie Junior Baseball Association - (Milwaukie, OR)

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MILWAUKIE JUNIOR BASEBALL ASSOCIATION
Online Registration

* Coach Last Name:

* First Name:

* Your athletes full name:

* Address:

* City:

* State:

* Zip:

* Sex:

* Birth Date:

* Employer and Hours worked a month:

* Driver's License Number:

* Do you have auto mobile insurance:

Yes

if yes, name of carrier and policy number:

if no, why not?:

* Have you Coached for MJBA in the past?:

* Years Coaching and or experience:

* Coaching References (Please list Coaches/Organizations and emails for each):

* Age level you wish to coach?:

* Are you applying for head or assistant coach?:

Head Coach

Assistant Coach

Skill Level You wish to coach (Only if coaching Minors, Juniors, or Seniors):

* Please indicate your shirt size:

* Phone #:

* Email Address:

Please fill out background check

https://opportunities.averity.com/MJBA

I acknowledge I have filled out the background check *

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