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

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Print 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]

Human Validation

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