2016 Spring 4 on 4 Hockey League Coaching Application (Woolwich Minor Hockey)

Complete this form if you would like to volunteer to coach a 2016 Spring Hockey team.

Personal Information

Please provide a few details about yourself.

Name^*

Required

Last name, first name

Address^*

Required

Home Phone^*

Required

Example: ###-###-####

Cell Phone

Example: ###-###-####

Email Address^*

Required

Example: [email protected]

Date of Birth

Credentials

Please list the teams you have previously coached.

Include centre name, age level and classification

Do you have your Coaching Certification?

YesNo

Do you have your Trainer's Certification?

YesNo

Team Requested

Note: Applications for AE Teams will remain confidential until A teams are chosen unless the coach selected is a non-parent.

If your child is registered to play, please provide his/her full name so we can match you with the right team.

Enter your child's name

If you don't have a child registered and just want to coach, please indicate which division (novice, atom, peewee)

Novice
Atom
PeeWee

Novice, Atom or PeeWee

Validation

Have you had any involvement with the police or any other authorities which could negatively reflect on your suitability as a coaching staff member?^*

YesNo

Required

If yes to above, provide details.

Committment

I agree, that if selected, I will provide a copy of a recent Police Check to the WMHA Hockey Office. ^*

I agree

Required

2016 Spring 4 on 4 Hockey League Coaching Application (Woolwich Minor Hockey)

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Personal Information

Credentials

Team Requested

Validation

Committment

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