DS 2017-2018 (Guelph Girls Hockey Association)

Personal Information

Name:

Birthdate^*

Address:

City & Postal Code:

Home Phone:

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

Cell Phone:

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

Email Address:

Example: [email protected]

Divsion Your Daughter Plays In:

NA for non-parents; ie. Novice

Postition(s)

I am interested in the following position(s)

Positions:

Coach
Assistant Coach
Trainer

Check All That Apply

1st Choice

Certifications

We encourage interested people to apply even if you do not currently have the required certifications. Required certification/ re-certification for Coaches and Trainers must be obtained by October 31.

Speak Out/ Respect in Sport/ PRS #:

Trainer (HTCP) Certification(s):

Trainer Course Expiry Date:

Coach (NCCP) Certification(s) Number:

Coach (NCCP) Certification(s) Expiry Date:

Coaching / Trainer Experience

(not necessarily hockey)

Season

(i.e., 2016-17)

Position Held:

Team Level/ Type:

(i.e., Bantam HL, Novice rep)

Organization:

Clinics/ Workshops

Are you willing to attend clinics and/or workshops to improve your coaching / trainer skills?

YesNo