Coaching Application

Full Name

Address

Home Phone

Cell Phone

Email

Date of Birth

Occupation and Employer

Employer Contact Information

Preferred Coaching Assignment

A criminal record check is required each coaching year. Criminal record check submitted?

Certifications completed

Hockey Coaching Experience (year, association, age group, position)

Other Sports Coaching experience

I hereby consent to disclosure of the above information. I hereby acknowledge the authority of the CHA, Hockey Alberta, Fort Macleod Minor Hockey Association and agree to carry out and abide by their constitution, bylaws, rules and regulations. By way of this application, I give permission to Fort Macleod Minor Hockey Association to pursue a criminal record search on myself if necessary.

Submit