Coaching/Volunteer Application (Lakefield Minor Hockey)

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.
  1. I agree that I have read the responsibilities of each position as noted above.
Contact Information
Please complete in full
  1. We will also send a copy of this submission to your address.
  2. Example: ###-###-####
  3. Example: ###-###-####
  4. RadDatePicker
    RadDatePicker
    Open the calendar popup.
Team Preference
Please complete in full





  1. Check All That Apply
Certifications
Please let us know which certifications you currently have.






  1. Check All That Apply
Human Validation