Coach Registration - 2017
First Name
Your answer
Last Name
Your answer
Birth Date
MM
/
DD
/
YYYY
Sex
Phone Number
Your answer
Email Address
Your answer
Mailing Address
Your answer
Town
Province
Postal Code
Position
Group that you are coaching...
Required
If you would like to coach your son/daughter, please indicate their name:
Your answer
What coaching courses have you taken?
Required
Fair Play Code for Coaches
Please check each box to indicate that you have read and agree with each statement:
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