2026-2027 House League Coaching Application (Brantford Minor Hockey Association)

Name:^*

Required

First and Last

Address:^*

Required

City:^*

Required

Postal Code:^*

Required

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)
Under-9 (Novice)
Under-11 (Atom)
Under-13 (Peewee)
Under-15 (Bantam)
Under-21 (Midget-Juvenile)

Required

Please describe your specific interest in this division:^*

Required

Please list past coaching experience:^*

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 a Coach 2 Clinic and RIS (Shift Forward)

(Minimum of CS1 required to apply for Head Coach, or willing to take Coaching certification clinic.

Do You Have Trainer Certification?:^*

YesNo

Required

Are you familiar with the BMHA Constitution, Bylaws and Policies?^*

YesNo

Required

Are you familiar with the BMHA Abuse & Harassment and Fair Play Policies?^*

YesNo

Required

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

Coaches will be required to submit a Police Check prior to board approval.

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

Only those granted interviews will be contacted.

I agree to the terms and conditions stated above^*

2026-2027 House League Coaching Application (Brantford Minor Hockey Association)

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