GPMHA U7/U9 Coaching Application (Petawawa Minor Hockey)

GPMHA U7/U9 Coaching Application

Please use this form to signal your willingness to work as bench staff for U7/U9 age groups only.

Full Name^*

Required

Email Address^*

Required

Mailing Address:^*

Required

Home Phone:^*

Required

Example: ###-###-####

Mobile Phone:

Example: ###-###-####

Please list all coaching and volunteer jobs

Coaching Experience^*

Required

Include Year, Association/Club, Team Name and Position

List all application Training and Certifications^*

Required

Include Course Name, Location Taken, Date Completed/Last Certified

I understand that a Criminal Record Check and Vulnerable Sector Screening must be completed in my name.
I understand that I must attend either the O.P.P. Station or the M.P. Station to complete the paperwork for the Criminal Record Check and Vulnerable Sector Screening process.
I understand that the GPMHAI collects and uses personal information for the sole purpose of the administration of the minor hockey program.
I understand the information collected will not be shared with any third parties or outside agencies without prior consent.
I understand that personal information collected will be kept and maintained in a secure area for the duration of my association with the GPMHAI unless otherwise directed to destroy it.
I understand that each year, new information may be collected to update the information on file only.

I agree to the terms and conditions stated above^*