Trainer Update-Renewal-Crossover Form (2022-2023) (Minor Hockey Alliance of Ontario)

Print Trainer Update-Renewal-Crossover Form (2022-2023)
Please complete the application below in full.
PART A: Contact Information
Please complete in full.
  1. First & Last
  2. Example: [email protected] Your submission will be sent to this address.
  3. RadDatePicker
    RadDatePicker
    Open the calendar popup.
    Allows us to narrow the search for your participant profile
  4. We may need to contact you for further information.
  5. i.e. 22-TK2-12345
  6. i.e. HCR 1700004329237
Part B - Payment Section
Fee is $8.00 for any renewal/upgrade, crossover or replacement card request. Visa or MasterCard only. **A payment receipt will be forwarded to the email address submitted on this form.
  1. i.e. 1111 2222 3333 4444
  2. i.e. 12/24
Part C - Previous/Current Certifications
Please attach copies of your current Standard First Aid certificate if you are requesting a Trainer Upgrade.
  1. Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx, .xls, .xlsx, .ppt, .pptx.
    Maximum # Files: 1. Maximum File Size: 4MB.
  1. Thank you for submitting your request.

    Upon receipt, ALLIANCE Hockey will:

    1. Process your request and post mail your updated certification (please allow up to 10 days for delivery) 

    OR

    2. If there are any issues, we will contact you directly.


    If you have any questions, please contact Tyler Tolton: [email protected]
     
Human Validation