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2020-21 Couching Application
Arctic Lions / NAHA Head Coaching Application for 2020-21 Season
*Please note additional information may be requested after applications are reviewed.*
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Applicant Name
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Your answer
Address
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Your answer
Email
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Cell/Home Phone
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Your answer
Date of Birth
*
MM
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DD
/
YYYY
Please indicate the age you are applying for:
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Choose
Ice Puppies (6U)
Jr Grizzlies (8U)
10U
12U
14U
16U
Other
Please list preference for major/minor
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Major
Minor
None
Are you a parent coach?
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Yes
No
CEP Level
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1
2
3
4
5
Online Module Level(s) completed:
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Your answer
Provide your prior level of hockey playing experience:
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Your answer
Provide your prior coaching experience(s) (season, team, organization, level, and role):
*
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Will you plan on traveling out of state with your team:
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Yes
No
If "Yes", then where and when (if you know or have an idea):
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How many players will you intend on carrying on your roster:
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