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Application Information

Birthday
Year
Month
Day
Position Interested In

Check all that apply

Head Coach Qualifications

Please indicate if you have completed the following courses:

Check All That Apply

Coaching History

Please provide your most recent hockey coaching experience.

Year Coached
Division (Age Group)
Level
Role

Team(s) Requested

In order of preference, please list UP TO TWO age groups you are applying for. Do not indicate a level that you would not be willing to accept, if offered to you.

Division
TIER
A
AA
AAA

Parent Coach

Do you anticipate having a child on the team you are applying for?
Yes
No
Child's Position
Player
Goalie
Level the child played last season
Highest level your child has played

References

Please provide the names and contact information for one hockey related reference (parent, former bench staff, previous coach, player, etc.) as well as one non-hockey related reference (business or personal).

Additional Information

Would you like to enter an entire team?
Yes
No
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