Essex Ravens Local League > House/Local League Coaching Application 2024/25 (Essex / Southpoint Rep Hockey)

House/Local League Coaching Application 2024/25, Essex Ravens Local League (Essex / Southpoint Rep Hockey)

Name^*

Required

Address^*

Required

City^*

Required

Postal Code^*

Required

Phone Number^*

Required

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

Email Address^*

Required

Do you currently have a coaching certificate? If yes, what level?

Coach 1 (Intro to Coach)
Coach 2
Development 1
No Current Coaching Certifications

Check All That Apply

Do you have a PRS Certification? (Respect in Sports - Coach or Speak Out)

YesNo

This is NOT the same as Respect in Sports - Parent

I wish to apply for the following team^*

Required

Choose one Age Level

Position^*

Required

If you are not selected for your choice above would you consider applying for another team?^*

YesNo

Required

Will you have a child playing on this team?^*

YesNo

Required

Prior Coaching Experience^*

Required

House/Local League Coaching Application 2024/25, Essex Ravens Local League (Essex / Southpoint Rep Hockey)