Mahwah Travel Baseball

COACHES

CERTIFICATE of INSURANCE REQUEST FORM
for Mahwah Travel Baseball Coaches

Has a league or tournament director asked you for proof of insurance ?

As a Mahwah Travel Baseball coach you may make a request through this page.

You must be a Mahwah Travel Coach to complete the form on this page. The request will be submitted to the Township of Mahwah, who will forward to their insurance professional, to prepare an ACORD Certificate of Insurance.

Please allow 5 business days advance notice for all Certificate requests.

This is ONLY for MAHWAH TRAVEL BASEBALL coaches !!

Non-coaches may contact the Travel Baseball League Director below.

Travel Director
John Zisa

Baseball Commissioner:
Keith Savino
keiths@wawickresource.com

Other Contacts and Feedback

* Indicates required field

Coach (Mahwah) Name Requesting Certificate *

First

Last

Coach (Mahwah) Email requesting certificate. The certificate will be sent back to you, as the coach. *

Coach (Mahwah) Contact - Phone Number *

Mahwah Travel Team (example 10u Spring - A) *

Certificate - Coach - When do you need this certificate (please type the date as DD/MM/YYYY) *

Certificate - Who is the League or Tournament Asking you (the coach) for a Certificate ? Please be exact and type the full legal name *

Certificate: Description of Operations (reason for request eg: Tournament Description *

Certificate Holder Information - This should be the name, address and contact information of the Tournament requesting the certificate *

Is the tournament or league asking to be named as an additional insured ? *

I certify i am the head coach of the Mahwah Travel Team Indicated Above. *

Yes

Upload File Showing the Request - OPTIONAL *

Max file size: 20MB

This request was generated at www.mahwahyouthbaseball.org - coaches menu.