| Name |
|
|
| Address |
|
|
| City |
|
|
| Zip Code |
|
|
| Phone Number (home) |
|
|
| Phone Number (work) |
|
|
| Email Address |
|
|
| |
| Level certified to coach |
|
|
| Expiration date |
|
|
| Coaching experience |
|
|
| Team desiring to coach |
|
|
Do you have a child
registered in EVHA? |
|
Yes
No |
If you wish to coach your child's team, what level will they
play this season? |
|
Bantam
Peewee
Squirt A/B
Squirt C
Girls U14
Girls U12
Girls U10
Mite 3
Mite 2
Mite 1
Mite K |
|
|
The EVHA Registrar must have a front/back copy of current coach's card on file prior to any on or off ice coaching. |
| |
|
|
