Grand Lake Minor Hockey Association
Manager Application Form
Applicant Information
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Birth:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Address
Street Address
City
Province
Postal / Zip Code
Division to Manage
Past Managing Experience
*
Rows
Team and Division
Reference Name
Reference Phone Number
1
2
3
Qualifications
The Shift Forward (Or former Respect in Sport Activity Leader)?
Yes
No
Attached a Criminal Record & Vulnerable Sector Check?
Yes
No
Hockey Canada Safety Program Level 1 Certificate?
Yes
No
Are you willing to attend above clinics if required?
Yes
No
Signature
Criminal Record & Vulnerable Sector Check: Can also be sent to glmharegistrar@gmail.com
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