Hamburg Hawks - League Athletics
Hamburg Hawks 2017-2018 Coaching Application Boys and Girls Travel Teams Name: _____________________________________________________________________________________ Address: ___________________________________________________________________________________ Phone #s (h) __________ (w) __________ (c) __________ email: ______________________________________ Occupation: _________________________________________ If you have any children playing youth hockey what are their names and birthdates: __________________________________________________________________________________________________ What team are you applying for?
Note: teams listed do not guarantee a team will be created at that level.
Mite Development Leader
2010’s_____
2009’s_____
Squirt
Minor_____
Major_____
Mixed_____
PeeWee
Minor_____
Major_____
Mixed_____
Bantam
Minor_____
Major_____
Mixed_____
Midget
15’s_____
16’s_____
18’s_____
Girl’s
10/U_____
12/U_____
14/U_____
16/U_____
19/U ______
Previous coaching experience? _________________________________________________________________________ Plans/Goals for the next 2-3 seasons? ___________________________________________________________________ Potential Coaching Staff and manager? ___________________________________________________________________ USA Coaching Education Level: ____ Card #:______ Date Obtained:______ List modules taken:_________ Are you willing to undergo the NYSAHA Screening process? ______ I acknowledge that I am responsible for knowing and following the rules as set forth by USA Hockey, NYSAHA and Hamburg Hawks Hockey Association. I also agree to obtain and maintain the required coaching education requirements as set forth by USA Hockey. Signature: ___________________________________ Date: ____/____/_____ Applications Due: February 3, 2017 Completed Applications must be returned to the Board Members listed below: Mite thru Peewee Applications return to: Eric Cooper-phone: 364-2589-email: [email protected] Bantam through Midget and all Girls team applications to: Eric Herman-phone: 289-1455-email: [email protected]
Note: teams listed do not guarantee a team will be created at that level.
Mite Development Leader
2010’s_____
2009’s_____
Squirt
Minor_____
Major_____
Mixed_____
PeeWee
Minor_____
Major_____
Mixed_____
Bantam
Minor_____
Major_____
Mixed_____
Midget
15’s_____
16’s_____
18’s_____
Girl’s
10/U_____
12/U_____
14/U_____
16/U_____
19/U ______
Previous coaching experience? _________________________________________________________________________ Plans/Goals for the next 2-3 seasons? ___________________________________________________________________ Potential Coaching Staff and manager? ___________________________________________________________________ USA Coaching Education Level: ____ Card #:______ Date Obtained:______ List modules taken:_________ Are you willing to undergo the NYSAHA Screening process? ______ I acknowledge that I am responsible for knowing and following the rules as set forth by USA Hockey, NYSAHA and Hamburg Hawks Hockey Association. I also agree to obtain and maintain the required coaching education requirements as set forth by USA Hockey. Signature: ___________________________________ Date: ____/____/_____ Applications Due: February 3, 2017 Completed Applications must be returned to the Board Members listed below: Mite thru Peewee Applications return to: Eric Cooper-phone: 364-2589-email: [email protected] Bantam through Midget and all Girls team applications to: Eric Herman-phone: 289-1455-email: [email protected]
