First name

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* 1. First name

Surname

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* 2. Surname

Birthdate

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* 3. Birthdate

Date / Time
Email address

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* 4. Email address

Phone Number

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* 5. Phone Number

Current player 

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* 6. Current player 

If you have played hockey please advise top level played

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* 7. If you have played hockey please advise top level played

Parent of a junior player at Waverley

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* 8. Parent of a junior player at Waverley

If you are a parent are you applying to coach your childs team

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* 9. If you are a parent are you applying to coach your childs team

Please confirm all days you are available below to assist us in planning training schedule and game coverage

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* 10. Please confirm all days you are available below to assist us in planning training schedule and game coverage

Do you have coaching qualifications

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* 11. Do you have coaching qualifications

Please briefly describe your coaching experience to date

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* 12. Please briefly describe your coaching experience to date

Do you have a preference for which team you will coach

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* 13. Do you have a preference for which team you will coach

Which of the two roles per team would you prefer? Senior Coach / Assistant Coach

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* 14. Which of the two roles per team would you prefer? Senior Coach / Assistant Coach

Do you have a preference for who you will coach with

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* 15. Do you have a preference for who you will coach with

Please tell us more about why you want to coach and what you are hoping to achieve this coming season

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* 16. Please tell us more about why you want to coach and what you are hoping to achieve this coming season

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