Please provide all pertinent information for the Assistant Coach, Trainer, Manager or On Ice Helper.
Example: [email protected]
Example: ###-###-####
dd/mm/yyyy
All staff are required to have a valid police check on file. Police checks are valid for a period of three years. The Online Criminal Offence Declaration below must be completed each year. Please note: You still need a valid Police check on file.
Select one of the statments by clicking the radio button.
Check All That Apply
All WGMHA applicants please list all your relevant credentials - even if you have been a staff member with WGMHA in the past so we can confirm your certifications.
Coach Number
Trainer Number
Include Number
Please provide three character references, excluding relatives
Name / Address / Phone