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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    RadDatePicker
    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 Activity Leader-Respect in Sports 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 May 31.

    Thank you

    BBMHA Executive
Human Validation
Printed from blythbrusselsminorhockey.ca on Thursday, November 15, 2018 at 2:37 PM