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High Country Minor Association Coaching Application Form 2024/2025 Season
Name
*
Email
*
Phone number
*
Address:
*
Do you have a child/children playing in HCMHA
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Yes
No
What Division is your Child a Player?
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U7
U9
U11
U13
U15
U18
What Division is your Child a Player?
U7
U9
U11
U13
U15
U18
What Division is your Child a Player?
U7
U9
U11
U13
U15
U18
What Division is your Child a Player?
U7
U9
U11
U13
U15
U18
COACHING BACKGROUND AND CERTIFICATIONS
All volunteers must have a current Respect in Sport - Activity Leader certification and a have completed Criminal Record/Vulnerable Sector Check every 3 years.
Coaching Clinics and Courses Completed ( Please Check All That Apply)
*
NCCP Coach 1 - Intro to Coach (Hockey Alberta)
NCCP Coach 2 - Coach Level (Hockey Alberta)
Coach - Instructional Stream Checking Skills
Hockey Safety (Online - valid for 3 seasons upon completion)
Respect in Sport Activity Leader/Coach Certificate (2021 or later)
Respect in Sports Online Parenting Program (current)
NCCP Development 1
NCCP High Performance 1
First Aid Training
Any Other Relevant Courses Completed
Past Hockey Coaching Experience - Year/Association/Division/League/Capacity and Position
*
Briefly describe your playing experience.
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As a coach, have you ever received a penalty or suspension that required an appearance before a review panel? If yes, explain.
*
Yes
No
No
Have you ever been relieved of your duty as a coach by an association?
*
Yes
No
No
Are you able and willing to commit the time required for the team and scheduled team events?
*
Yes
No
No
Do you consent to a Criminal record check?
*
Yes
No
No
Are you familiar with and in agreement with Hockey Canada Fair Play codes regarding the treatment of players, officials, parents and spectators?
*
Yes
No
Are you interested in the following? Please indicate in notes if choosing Head Coach for one team and Assist for another
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Head Coach
Assistant Coach
Either (if NO Head Coach available)
Either (if NO Head Coach available)
Attach any supporting documents that HCMHA may not have on file already - Respect in Sport, Coaching Certificates, etc
Signature
*
clear
Date
*
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