Coach Application

Full Name

Mailing Address

Phone

Team Names(s) (incl. age)

Number of Athletes

Any additional goals for requesting membership at The Clubhouse?

Any additional offerings you would like to see at The Clubhouse?

Submit full roster (including subs ) and update admins should the roster change.

Submit first and last name of each team coach who will be at the facility.

Submit Certificate of Insurance and include “The Clubhouse Softball Academy, LLC” and “JCG Midwest, Inc.” as additional insured

I have read and agree to the Release of Liability

By signing below, I confirm that all information provided is true and complete.

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