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Nanaimo Minor Hockey Association
promotes sportsmanship, fair competition, development & safety for all skill levels
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Recreational Coaching Application Form
Recreational Coaching Application
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Name:
*
Address:
*
Home Phone:
*
Cell Phone:
*
Email:
*
DOB:
*
Preferred Coaching Assignment
*
U6
U7
U8
U9
U11
U13
U15
U18
U21
Female
Coach Level:
*
Respect in Sport:
*
Concussion Awareness:
*
Development 1:
*
Last Team Coached:
Year:
Association & Team Name:
Age Group:
Coaching Position:
Coaching Reference 1:
Name
Position
Phone
Coaching Reference 2:
Name
Position
Phone
Comments:
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