Coaching/Volunteer Application (Lakefield Minor Hockey)

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Print Coaching/Volunteer Application

Please complete this form if you wish to volunteer with LDMHA. A police record check will be required if you are selected for any position.

I agree that I have read the responsibilities of each position as noted above.

I agree to follow the Constitution and By-laws of the LDMHA and understand my responsibilities if chosen for a bench staff position.^*

Contact Information

Please complete in full

Full Name^*
Email Address^*

We will also send a copy of this submission to your address.
Street Address^*
City / Town^*
Postal Code:^*
Home Phone^*

Example: ###-###-####
Cell Phone

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

Date of Birth^*

Open the calendar popup.

Team Preference

Please complete in full

Volunteer Position(s) desired:^*
Head Coach
Assistant Coach
Trainer
Manager
On-Ice Volunteer
Time Keeper
Check All That Apply
First Choice^*
Second Choice
Third Choice
Please provide details of your experience, why you would like to volunteer with LDMHA and your coaching philosophy if applicable.^*
List any volunteering and or managing experience you have:

Certifications

Please let us know which certifications you currently have.

Completed Certifications:
Coach 2
NCCP Coach Stream
NCCP Development 1
NCCP Development 2
None
Respect in Sport Activity Leader or Speak Out (Mandatory prior to tryouts)
Trainer
Check All That Apply
Certification is good until:
Good for another 2 yearsGood for Another YearThis SeasonUnknown
Are you currently serving a suspension?
NoYes

Human Validation

Check The Box ^*