House League Coaching Application (JCC Hockey)

House League Coaching Application

Please complete this form in order to coach in the JCC Warriors House League Program.

Coaching Applicant Information

First Name ^*

Required

Last Name ^*

Required

Date of Birth^*

Required

Email Address^*

Required

Example: [email protected]

Phone Number^*

Required

Example: ###-###-####

Do you have any of the following coaching credentials? (please check all that apply)^*

Do You Have Coach Level 1
Do you have Coach Level 2
Activity Leaders- Respect in Sport
Do we have a VSS on file?
Have you registered in Hockey Canada this year
Your Gender Identity & Expression Course
None of the Above

Check All That Apply

Player Information

Please provide information if you have a child playing in the program

First Name of Player

Last Name of Player

Player Date of Birth

Please read and acknowledge the following GTHL Policy.
7.15 – Restriction on Team Officials Changing Clubs
A person who is registered as a Team Official in one Season may not, without the consent of the Club, Division or Affiliated Group with which such person is registered as a Team Official, be registered or appear on the bench in the immediately following Season as a Team Official for a Team in the immediately higher age division of another Club, Division or Affiliated Group. In the case of Midget and Under-21 ‘AAA’, this restriction also applies to Teams in the same age division. The consent of a Club, Division or Affiliated Group required by this Rule 7.15 must be sought and granted by that previous Club, Division or Affiliated Group prior to the new Club announcing, publicizing and appointing an individual. The permission must be provided in writing, signed by a Club Official or by an official of the Division or Affiliated Group or be provided by e-mail sent by a Club Official or by an official of the Division or Affiliated Group to the e-mail address of the League Office. A Club, Division or Affiliated Group may withhold its consent in its sole and absolute discretion, except that the Board or a Special Committee may grant relief from this Rule 7.15 in exceptional circumstances. The new club may not advertise (either in writing or orally) that a person who requires consent under this regulation will be a Team Official for that Club nor is that individual permitted to participate in tryouts for the new Club unless written consent has been granted by either the former Club, the Board or a Special Committee prior to the advertising and/or tryouts being conducted. Any new Club that violates this provision will be fined $1,000 and the Team Official will not be permitted to register with that Club for that season.I understand that I will be added to the Hockey Canada Data Base and will be a member of the CVHA House League Coaching Staff.

I understand the terms and conditions stated above^*