Please Print All Information Clearly

Circle Program Preference:   Coach Pitch 6  /  Coach Pitch 7/8  /  Minor League   /   Major League 

Name: _________________________E-mail Address: _______________
 Address: _______________________Cell Phone: ___________________
 City: ___________________________Home Phone: _________________
 Zip Code: _______________________Work Phone: _________________
 

Coaching Experience: ______________________________

________________________________________________
 

 

Coaching References: 

Contact Name & Phone No.___________________________________________

Contact Name & Phone No.___________________________________________

Will you allow a background check by the Baseball League? 
   (Circle one) Yes / No 

_____________________                       __________
              Signature                                                                 Date

 

Interested in coaching LYB Travel Select?  (Circle prefered division)

 

7U   8U   9U   10U   11U   12U   13U

 

 

**Attach a copy of a valid driver license with photo**

Please Mail To: Lebanon Youth Baseball League PO Box 751 Lebanon, Tn. 37088
Or email to lebanonyouthbaseball@gmail.com

 

Local League Use Only: Background check completed on:_________________ By:_________________________________________ League Official Approval: __________________ Date: _____________