2020-2021 Coach Application
East Hants Minor Hockey Association
Name
First Name
Last Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Level and Team Coached in Previous Season
Other coaching experience
Please describe any Coaching Certification that you have achieved
Do you have any up-to-date Criminal Record Check?
Yes
No
Have you completed the Respect in Sport for Coaches course?
Yes
No
Have you completed the Hockey Canada Safety Program?
Yes
No
Do you have a child or children in hockey?
Yes
No
If yes, what level(s)?
What level of hockey are you applying to coach?
U7
U9
U11
U13
U15
U18
Comments
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