Coaching Application (Arthur Minor Hockey)
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Coaching Application
All sections on form must be filled out.
Personal Information
Name:
*
Date of Birth:
*
mm/dd/yyyy
Current Address:
*
City:
*
Province:
*
Postal Code:
*
Home Phone:
*
Example: ###-###-####
Business Phone:
Example: ###-###-####
Email:
*
Example:
[email protected]
Your submission will be sent to this address.
Team Information
Team & Division Applying For:
*
Select One...
Peewee Rep
Atom Rep
Bantam LL
Initiation - IP1 - Blue
Initiation - IP2 - Gold
Midget LL
Novice
Preschool
Tyke
Qualifications
Main Qualifications:
*
Select One...
PRS/Repect in Sport - Activity Leader Program
CHIP
Stream
Development 1
Trainer
Additional Qualifications:
Select One...
PRS/Repect in Sport - Activity Leader Program
CHIP
Stream
Development 1
Trainer
First Aid/CPR Course
Other
Experience:
*
List past coaching experience and/or other qualifications.
Additional Information
Reason for Coaching:
*
Tell us why you'd like to be an Arthur Minor Hockey coach.
Coaching Philosophy:
*
Tell us about your major objectives and principles.
Understand and accept that should you be selected as a coach in the Arthur Minor Hockey Association, the guidelines and rules of both the association and the OMHA are to be followed.
All Coaches are required upon request to complete a criminal record search by the O.P.P. This request may be made on an annual basis.
I agree to the terms and conditions stated above
*
Human Validation
Check The Box
*
Human Validation Failed, Please Try Again
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Peewee Rep
Atom Rep
Bantam LL
Initiation - IP1 - Blue
Initiation - IP2 - Gold
Midget LL
Novice
Preschool
Tyke
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Thu Feb 21, 2019
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Printed from arthurminorhockey.com on Thursday, February 21, 2019 at 10:56 PM
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