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 *
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What is the course you are applying to host?
Officiating Pathway
Technical Officiating Pathway
National Coach Certification Pathway (NCCP)
Please provide your top 3 picks to host a clinic
Option 1 *
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Option 2 *
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Option 3 *
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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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