Local League Bench Staff (Erin-Hillsburgh Minor Hockey Association)
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Submission Info
Team
*
Select One...
U7 - U5
U7 - U7 - 2
U7 - U7 - 1
Group 1
Group 2
Group 3
LL - U11 Select
Rep - U9 MD
Rep - U11 B
Rep - U13 B
Rep - U16 BB
Rep - U18 BB
Rep - U21 Rep
LL - U9 LL2 (Black)
LL - U9 LL1 (Red)
LL - U11 LL1 (Red)
LL - U11 LL2 (Black)
LL - U13 LL (Red)
LL - U15 LL (Red)
LL - U21 LL1 (Red)
Other Ice Use
Required
Submitted by:
*
Required
Submitter E-Mail
*
Required
Example:
[email protected]
. Your submission will be sent to this address.
Note:
If bench staff has more than one certification (i.e. Coach AND Trainer) check all the apply.
ONE person with Speak Out only can be rostered as manager. All other bench staff must have either a coach or a trainer certification.
Bench Staff
Head Coach
*
Required
Head Coach Certification
*
Coach 2
D1
Trainer
Check All That Apply
Trainer
*
Required
Trainer Certification
*
Coach 2
D1
Trainer
Speak out ONLY
Other / Don't Know
Check All That Apply
Other Bench Staff 1:
Other Bench Staff 1 Certification
Coach 2
D1
Trainer
Speak out ONLY
Other / Don't Know
Check All That Apply
Other Bench Staff 2:
Other Bench Staff 2 Certification
Coach 2
D1
Trainer
Speak out ONLY
Other / Don't Know
Check All That Apply
Other Bench Staff 3:
Other Bench Staff 3 Certification
Coach 2
D1
Trainer
Speak out ONLY
Other / Don't Know
Check All That Apply
Bench Staff Notes/Comments:
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