WestLuc Hockey Coach and Manager Signup 2019-20

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Please fill in this form in order to be considered for a role on a WestLuc Hockey team's coaching staff.

Due to many requests, filling in this form does not guarantee you a spot on a coaching staff.

If you have children in the program, your request to coach will not affect the level your child will play.

By applying to coach you consent to a criminal background check as mandated by WestLuc Hockey and Hockey Quebec.

Email *

First Name *

Last Name *

Telephone Number *

What role(s) would you be interested in filling? *

Head Coach

Assistant Coach

Manager

Required

Do you have children trying out for a WestLuc Hockey team this upcoming season? *

Yes

What level(s) would you be interested in for the upcoming season? *

Pre-Novice (5-6)

Novice (7-8)

Atom (9-10)

Peewee (11-12)

Bantam (13-14)

Midget (15-17)

Junior (18-21)

Required

What certification(s) do you have?

Respect in Sport

Initiation (Pre-Novice and Novice)

Recreation (Atom to Junior single letters)

Competition (Double letters)

Health and Safety

Other:

What hockey coaching experience do you have? (levels, roles, number of years)

What other coaching experience do you have?

Do you have any objections to having a criminal background check done? *

Yes

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