BALTIMORE ICEDOGS HOCKEY CLUB
P.O.BOX 195, BALTIMORE, ONTARIO K0K 1C0
COACHING STAFF APPLICATION
I would like to apply for the position of:
| Head Coach | ______ | Coach Card # | _______________ |
| Assistant Coach | ______ | Coach Card # | _______________ |
| Trainer | ______ | Trainer Card # | _______________ |
| Manager | ______ | PRS Card # | _______________ |
I would like the following age group / category:
Mite (IP) _____
Tyke (IP) _____
Novice LL _____
Atom LL _____
Peewee LL _____
Bantam LL _____
Midget LL _____
Juvenile LL _____
Novice Rep _____
Atom Rep _____
Peewee Rep _____
Bantam Rep _____
Midget Rep _____
Girls (Specify Age Group) _____
Name (Print): _________________________________
Email Address: _______________________________
Phone Number: _________________
Signature: ___________________________________
PRINT AND HAND IN BY DEADLINE OF SEPTEMBER 1