TOWN OF BROOKHAVEN BASEBALL - (Centereach, NY)

Subscribe to our Newsletter

2025/26 TOB BASEBALL COACHES AGREEMENT/WAIVER FORM

COACHES INFORMATION
Coach Waiver Information Form (A coach is not legally registered until this form is filed online).

* Team Name:

* Age Group(s):

* First Name:

* Last Name:

* Street:

* City:

* State:

* Zip Code:

* Email:

* I,:

hereby wish to register, as a coach, in the Brookhaven Town Youth Baseball Program. By signing this form, I subject myself to the rules and regulations governing play in the Town of Brookhaven Youth Baseball Program. Violations of these rules and regulations may result in disciplinary action against me.

* ELECTRONIC COACHES SIGNATURE:

WAIVER AND LIABILITY RELEASE

* I,:

* ELECTRONIC COACHES SIGNATURE:

* indicates required fields