Have you ever been suspended as a coach?
*If you answered Yes to the above question, please explain why.
Please give two coaching references (reference name, phone number , relation to your coaching experience and his/her email address)
*Do you have a child that will play in a non BC Hockey league for the 2023/24 season and/or are you going to coach a hockey team not under the Hockey Canada umbrella during the 2023/24 season?
*Please list information about yourself that you feel is important for the selection committee to know.
I hereby agree to familiarize myself with the coaching requirements set by BC Hockey, VIAHA and KPMHA and ensure that I maintain the required level of certification.
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