Bench Staff & On Ice Helpers (Tillsonburg Minor Hockey Inc.)

Bench Staff & On Ice Helpers

Fill in all that pertain to your team..

Team ...

Bench Staff

Please provide information for all your bench staff

Assistant Coach's Name

Assistant Coach's Qualifications

Date of Last Police Check

on file with TMHI

Assistant Coach's Phone

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

Assistant Coach's Email

Example: [email protected]

Trainer's Name

Date of last Police Check?

on file with TMHI?

Trainer's Qualifications

Trainer's Phone

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

Trainer's Email

Example: [email protected]

Manager's Name

Date of Last Police Check?

on file with TMHI

Manager's Qualifications

Manager's Phone

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

Manager's Email

Example: [email protected]

Assitant Trainer's Name

Date of Last Police Check?

on file with TMHI

Assitant Trainer's Qualifications

Assitant Trainer's Phone

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

Assitant Trainer's Email

Example: [email protected]

On Ice Helpers

Please provide information for all your on ice helpers

On Ice Helper #1 : Name

On Ice Helper #1 : Qualifications

Date of last Police Check?

on file with TMHI?

On Ice Helper #1 : Phone

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

On Ice Helper #1 : Email

Example: [email protected]

On Ice Helper #2 : Name

On Ice Helper #2 : Qualifications

Date of Last Police Check

on file with TMHI

On Ice Helper #2 : Phone

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

On Ice Helper #2 : Email

Example: [email protected]

On Ice Helper #3 : Name

Date of Last Police Check

on file with TMHI

On Ice Helper #3 : Qualifications

On Ice Helper #3 : Phone

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

On Ice Helper #3 : Email

Example: [email protected]

On Ice Helper #4 : Name

Date of Last Police Check

on file with TMHI

On Ice Helper #4 : Qualifications

On Ice Helper #4 : Phone

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

On Ice Helper #4 : Email

Example: [email protected]

On Ice Helper #5 : Name

Date of Last Police Check

on file with TMHI

On Ice Helper #5 : Qualifications

On Ice Helper #5 : Phone

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

On Ice Helper #5 : Email

Example: [email protected]

Bench Staff & On Ice Helpers (Tillsonburg Minor Hockey Inc.)

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Bench Staff

On Ice Helpers

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