Enter full name
Example: ###-###-####
Example: [email protected]. Your submission will be sent to this address.
Please select the team you wish to coach. Please note: The organization intends to offer multiple teams at the same level if there is sufficient numbers and skill level to support it
Please provide your daughter's full name. If multiple Daughters, please list both
Please provide your daughter's current team. If multiple daughters please list both
Check All That Apply
To Retrieve your NCCP # go to coach.ca - Locker Room
If you were selected as the Head Coach for the team(s) selected above, do you currently have the coaching certifications required? YES or NO
Please provide previous coaching experience beginning with the most recent season.
eg. London Devilettes, London Jr Knights, Oakridge Aeros
eg. U9,U11,U13,U15,U18
eg, AAA, AA, A, BB, B, C, HL
eg. Head Coach, Asst Coach, Trainer, Strength and Conditioning
Recognitions, Awards, Provincials, League, Tournaments
Include a minimum of three references with at least one hockey reference and one character reference.
How is the reference affiliated to you? eg. Coach, Peer, Mentor
Example: ###-###-#### x###
How is the character reference affiliatied to you? eg Friend, family, colleague
How is the character reference affiliated to you? eg. Friend, family, colleague