Clinic Request Form

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Clinic Request Form

Complete this form if you are interested in requesting a clinic or professional development session. Applications must be submitted no less than 5 weeks prior to the potential clinic dates.

Before completing the clinic request form, please review our scheduled clinics:

Coach:
Referee:

If there is already a clinic scheduled in your area, the clinic scheduled must be filled prior to another course being added. Once the clinic request form is completed in full, you will be contacted within 3 business days by Field Hockey Ontario.

Current Date *

YYYY

What is the course you are applying to host?

Officiating Pathway

Community Umpires Course

Provincial Umpires Course

Regional Umpires Course

National Umpires Course

Technical Officiating Pathway

Community Club Technical Officials Course

Provincial Technical Officials Course

National Technical Officials Course

National Coach Certification Pathway (NCCP)

Community Coach Course

Competition Introduction Course

Competition Development Course

Competition Development Advanced Course

Please provide your top 3 picks to host a clinic

Option 1 *

YYYY

Option 2 *

YYYY

Option 3 *

YYYY

Host Organization Information

Name of Organization *

Location of Organization (Provide the city in which the organization resides) *

First and Last Name of Host Contact *

Host Contact Email Address *

Host Contact Phone Number *

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