* 1. First name

* 2. Surname

* 3. Birthdate

Date / Time
/
/

* 4. Email address

* 5. Phone Number

* 6. Current player 

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

* 8. Parent of a junior player at Waverley

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

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

* 11. Do you have coaching qualifications

* 12. Please briefly describe your coaching experience to date

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

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

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

* 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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