Coaching/Volunteer Application (Lakefield Minor Hockey)
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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
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Postal Code:
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Home Phone
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Example: ###-###-####
Cell Phone
Example: ###-###-####
Date of Birth
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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
*
Select One...
U7 (IP)
U8 (MN)
U9 (NO) LL
U9 (NO) C
U11 (AT) LL
U11 (AT) C
U13 (PW) LL
U13 (PW) C
U15 (BT) LL
U15 (BT) C
U18 (MD) LL
U18 (MD) C
U21 (JU) LL
U21 (JU) C
Time Keeper
On-Ice Volunteer (Any Team)
Second Choice
Select One...
U7 (IP)
U8 (MN)
U9 (NO) LL
U9 (NO) C
U11 (AT) LL
U11 (AT) C
U13 (PW) LL
U13 (PW) C
U15 (BT) LL
U15 (BT) C
U18 (MD) LL
U18 (MD) C
U21 (JU) LL
U21 (JU) C
Time Keeper
On-Ice Volunteer (Any Team)
Third Choice
Select One...
U7 (IP)
U8 (MN)
U9 (NO) LL
U9 (NO) C
U11 (AT) LL
U11 (AT) C
U13 (PW) LL
U13 (PW) C
U15 (BT) LL
U15 (BT) C
U18 (MD) LL
U18 (MD) C
U21 (JU) LL
U21 (JU) C
Time Keeper
On-Ice Volunteer (Any Team)
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 years
Good for Another Year
This Season
Unknown
Are you currently serving a suspension?
No
Yes
Human Validation
Check The Box
*
Human Validation Failed, Please Try Again