Coaching Clinic Application Form (2022-23) (Minor Hockey Alliance of Ontario)

Coaching Clinic Application Form (2022-23)

Thank you for your interest in hosting a Coaching Clinic. Please complete the application below.

Clinic Coordinator - Contact Information

Please complete accordingly:

Name of Association:^*

Clinic Coordinator Name:^*

Clinic Coordinator Email:^*

Example: [email protected]

Clinic Coordinator Phone:^*

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

Clinic Information

Please provide complete details below:

Type of Clinic:^*

Clinic Date:^*

Clinic Date (DS1 - 2nd day):

Clinic Location:^*

Name of Facility

Clinic Location Address:^*

Street, City, Postal Code

ClassroomTime:^*

i.e. Saturday 8:00am - 4:00pm & Sunday 8:00am-4:00pm

Time of Ice Session:^*

Ice is booked 1:00pm-3:00pm on Sunday
Working on it
I have alternative times booked

DS1-120 minutes required, i.e. 1:00pm - 3:00pm Sunday

Location of Ice Session:

If different from classroom facility

Number of Participants:^*

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

COACH STREAM CLINIC NOTES:

• CS Clinics have a mandatory 60-90 minute ice session following the in-class session (teams are NOT required). Please Note: CSA Approved Helmets are MANDATORY for all on-ice sessions.

I understand and have read the above.^*

YES

DEVELOPMENT STREAM 1 - NOTES:

• DS1 clinics have a mandatory on-ice session on Sundays from 1:00pm – 3:00pm with one team REQUIRED for each session. Please Note: CSA Approved Helmets are MANDATORY for all on-ice sessions.

I understand and have read the above.^*

YES

MATERIAL ORDERS - COLLECT FROM REGISTRANTS

*Remember you need to collect the following information from the clinic participants for the material order: • Level at which they will be coaching (i.e. U10, U14, etc.). • If they have a certification from outside the ALLIANCE, they need to have it crossed over by the Office.

I understand and have read the above.^*

YES

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^*

Coaching Clinic Application Form (2022-23) (Minor Hockey Alliance of Ontario)

AAA

AA-A

BB-B

MD

House League

Clinic Coordinator - Contact Information

Clinic Information

COACH STREAM CLINIC NOTES:

DEVELOPMENT STREAM 1 - NOTES:

MATERIAL ORDERS - COLLECT FROM REGISTRANTS