2026 3on3 Coaching Application (Brantford Minor Hockey Association)

Name:^*

Required

First and Last

Date of Birth^*

Required

This is used to find your Hockey Canada Profile

Telephone Number:^*

Required

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

Email Address:^*

Required

Example: you@yourdomain.com. Your submission will be sent to this address.

Role:^*

Head Coach
Assistant Coach
Trainer

Required

Division:^*

Under -6 (Timbit)
Under-7 (Tyke)
D1 Division
D2 Division
D3 Division

Required

Your Child's Name^*

Required

Coaching Certification:^*

I have C1 or higher Certification
I only have Coach Respect in Sport Certification
I will Need to take the required certification and a Police VSC

Minimum certification for head Coach, Coach RIS , Gender ID and Valid Police VSC

Do You Have Trainer Certification?:^*

YesNo

Required

I authorize BMHA to collect personal information appropriate to the position.

Coaches will be required to submit a Police Check VSC if there is Not on on their HCR profile

All assistant coaches and trainers will be required to submit a Police Check.

Head coaches would be the main team contact to email or communicate with there team once teams are put together.

I agree to the terms and conditions stated above^*

2026 3on3 Coaching Application (Brantford Minor Hockey Association)

ALLIANCE HOCKEY Digital Network

Get Mobile!

Contact Us