ALLIANCE Hockey Body Checking Clinic Application Form (Minor Hockey Alliance of Ontario)

ALLIANCE Hockey Body Checking Clinic Application Form

This form is to be used by local Association Administrators only.

Clinic Coordinator - Contact Information

Please complete accordingly:

Clinic Coordinator Name:^*

Required

Clinic Coordinator Phone:^*

Required

Clinic Coordinator Email:^*

Required

Example: [email protected]

Clinic Information

Please provide complete details below:

Clinic Location:^*

Required

Name of facility

Clinic Location Address:^*

Required

Street, City, Postal Code

Clinic Date:^*

Required

ClassroomTime:^*

Required

75 minutes required i.e. 4:45pm - 6:00pm

Time of Ice Session:^*

Required

90 minutes required, i.e. 6:00pm - 7:30pm

Location of Ice Session:

If different from classroom facility

Number of Participants:^*

Required

Maximum of 40 per Session (40 on the ice or 40 in class at one time)

Please note, someone from our Office will follow up with you to provide final confirmation of the clinic application. Submission of this form does NOT constitute clinic approval.
Thank you.

I agree to the terms and conditions stated above^*

ALLIANCE Hockey Body Checking Clinic Application Form (Minor Hockey Alliance of Ontario)

AAA

AA-A

BB-B

MD

House League

Clinic Coordinator - Contact Information

Clinic Information