Please state your name as it appears on your Hockey Canada account. *
Your answer
Any nicknames or other names you prefer to use?
Your answer
What is your address complete with postal code *
Your answer
What is the best phone number to reach you at? *
Your answer
What is your Hockey Canada Account Number? To find this number, go to https://register.hockeycanada.ca/home and login to your account to find it. *
Your answer
Are you new to KVMHA but have coached or played hockey somewhere else in Canada?
If so we will need to have your Hockey Canada account transferred to KVMHA for you to be able to be placed on a team roster. Our Registrar will take care of this.
*
Preferred Coaching Positions, Check all that apply *
Required
Preferred Coaching Assignment - click all that apply *
Required
Hockey Coaching Experience - Please list your coaching experience. *
Your answer
Please list your coaching courses/training you currently have. For a list of certifications required please visit www.hnb.ca. *
Required
Please confirm you will complete all required coaching certifications and criminal record/vulnerable sector checks by December 15, 2024. *
Required
By checking below, I agree to the following undertakings:
I hereby consent to disclose the above information.
It is within KVMHA's policies to have criminal record and vulnerable sector checks completed as required by provincial authorities.
I will abide by KVMHA/HNB policies and procedures.
*
Required
Typing your name below and the date will serve as a signature. *