Bench Staff Application Form (Blyth Brussels Minor Hockey)

Print Bench Staff Application Form
Please complete this form if you are interested in a team management position,
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    Open the calendar popup.
Personal Information
Please complete all areas in this field.
  1. Example: ###-###-####
  2. Example: ###-###-####
  3. Example: [email protected] Your submission will be sent to this address.
Team(s) Applying For
Choose a team(s)












  1. This form shows all possible levels for each team (this will be different for each season depending on the number of registrations per team level)
Position(s) Applying For
Choose all the positions you are interested in
  1. Check each position(s) your are interested in for the team(s) you are applying for
Current Certification Information
Please add your certification numbers if it is valid, expired or if you need to obtain
  1. Add your certificate number and if valid, expired, need to obtain
  2. Add your certificate number and if valid, expired, need to obtain
  3. Add your certificate number and if valid, expired, need to obtain
Website Consent
Please check the appropriate box for your preference
  1. Check the one that applies to you
  1. The Head Coach will be responsible for choosing their Team Staff.

    All members of the Team Staff are required to fill out this form, take the PRS course and consent to a police check.

    All applications are subject to approval by the BBMHA Executive as outlined in the By-Laws.

    We request that you have your applications in by the end of August as this will give the Executive time to choose the head coach for each team, the coach time to choose his staff,  and time to have everyone contacted and in place before the start of the season.

    Once you complete the form and have clicked on submit it will automatically send a copy to the Risk Management Director and Technical Director and if you have entered your email address where requested it will send you a confirmation email.
Human Validation
Printed from blythbrusselsminorhockey.ca on Friday, February 23, 2018 at 7:43 AM