Youth Hockey Coaching Form - The Hockey House

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The Hockey House is always grateful for the support we get from parents who wish to help coaching and strive to make the game better for all kids involved. Please complete the coaching form to be considered for the season.

You will be placed as a coach on your own child's team.

If there are any questions that you have which are not addressed by completing the form bellow.
Please email us at info@langleyhockeyhouse.com

Thank you.

Season

Fall / Winter 2024 - 2025

COACH INFORMATION

Coach Sport

BALL HOCKEY ROLLER HOCKEY

Select only one

Coach Name

First Name

Last Name

Coach Email

Coach Alternate Email

Coach Phone

COACH CHILD INFO

Childs Name

First Name

Last Name

Childs Date of Birth

COACHING SELECTIONS

Coaching Type

Head Coach Assistant Coach Gate/Door Opener

Coaching Knowledge

I understand the game of hockey and how to coach it very well I have a basic understanding of the game and love to help out with coaching I have little to no knowledge of the game but am very happy helping on the bench

Coaching Availability

I am able to make it to all of the games scheduled for my child's division I will be able to make it to most of the games scheduled for child's division I can only come to certain games depending on the time of the game

COACHING ACKNOWLEDGEMENTS

Fair Play Rule

I understand that as a coach on a team I am required to follow the Hockey House Fair Play rule.

Code of Conduct

I accept and understand that all children on the team are to be treated fairly and equally

Removal from Coaching

I understand the Hockey House can remove me from coaching a team should there be issues involved

Additional Information

Feel free to leave us any additional information we might need to know.

Payment

Discount

Subtotal

Tax

Total USD