Bench Staff Approval Form (25/26) (Ajax Pickering Minor Hockey)
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Bench Staff Approval Form (25/26)
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Bench Staff Approval Form (25/26)
All bench staff must be approved by the APMHA. Fill out the form below with ALL of your intended bench staff; this form should only be re-submitted as necessary.
TEAM INFORMATION
Division:
*
Select One...
U8
U9
U10
U11
U12
U13
U14
U15
U16
U18
Required
Level:
*
Select One...
AAA
AA
A
B/BB
MD
SELECT
Required
HEAD COACH
First Name:
*
Required
Last Name:
*
Required
Date of Birth:
Primary Phone Number:
Example: ###-###-####
Email Address:
Example: you@yourdomain.com
TRAINER
First Name:
Last Name:
Date of Birth:
Primary Phone Number:
Example: ###-###-####
Email Address:
Example: you@yourdomain.com
ASSISTANT COACH/ASSISTANT TRAINER #1
First Name:
Last Name:
Date of Birth:
Primary Phone Number:
Example: ###-###-####
Email Address:
Example: you@yourdomain.com
Team Position:
Select One...
Assistant Coach
Assistant Trainer
ASSISTANT COACH/ASSISTANT TRAINER #2
First Name:
Last Name:
Date of Birth:
Primary Phone Number:
Example: ###-###-####
Email Address:
Example: you@yourdomain.com
Team Position:
Select One...
Assistant Coach
Assistant Trainer
ASSISTANT COACH/ASSISTANT TRAINER #3
First Name:
Last Name:
Date of Birth:
Primary Phone Number:
Example: ###-###-####
Email Address:
Example: you@yourdomain.com
Team Position:
Select One...
Assistant Coach
Assistant Trainer
MANAGER
First Name:
Last Name:
Date of Birth:
Primary Phone Number:
Example: ###-###-####
Email Address:
Example: you@yourdomain.com
Is the Manager being rostered to the Team?
Yes
No
TREASURER
First Name:
Last Name:
Date of Birth:
Primary Phone Number:
Example: ###-###-####
Email Address:
Example: you@yourdomain.com
ON-ICE VOLUNTEERS
Please add any on-ice volunteers here:
Human Validation Failed, Please Try Again
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