2021-2022 House League Coaching Application (Windsor Minor Hockey Association)

Home Phone

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

Cell Phone^*

Required

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

Primary e-mail address^*

Required

Example: [email protected]

Secondary e-mail address

Example: [email protected]

Division Options

U5
U6/U7
U9
U10/U11
U12/U13
U14/U15
U16-U19
U21

Check All That Apply

Do you have a child eligible to play for your desired team?^*

YesNo

Required

What is your Coaching certification?^*

None
Coach One (CHIP)
Coach Two (Coach Stream)
Developmental One
Developmental Two (Intermediate)
Advanced or High Performance

Required

Coaching Experience^*

Required

List your coaching experience oldest to newest in all sports.

REFERENCE ONE - Name^*

Required

Contact number

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

E-mail address

Example: [email protected]

REFERENCE TWO - Name^*

Required

Contact Number

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

E-mail address

Example: [email protected]

Additional Information

Any other relevant information that you would like to offer.

I agree that the above information is correct. I also agree to the WMHA conducting necessary checks to verify and gather information to assist in the selection process.

I agree to the terms and conditions stated above^*

Understand and accept that should you be selected as a coach in the Windsor Minor Hockey Association, the guidelines and rules of both the association and the OMHA are to be followed.

I agree to the terms and conditions stated above^*

2021-2022 House League Coaching Application (Windsor Minor Hockey Association)

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