CHURCH ATHLETIC LEAGUE OF KINGSTON
Harold Harvey Arena, 42 Church Street, Kingston, Ontario, K7M 1H3 Phone: 613-542-1362 Fax: 613-542-3345
website: www.calkingston.org email: calkingston2@cogeco.ca
COACH, TRAINER, MANAGER, ASSISTANT COACH, ASSISTANT TRAINER REGISTRATION FORM 2009-2010
SURNAME _____________________________________
GIVEN NAME _______________________________
DATE of BIRTH ________ ________ ________
Male / Female
day month year
ADDRESS ___________ _______________________________________________ _____________
# street apt
_______________________________________________________________ ________________________
city
postal code
PHONE NUMBERS home ____________________ work ____________________ other _____________________
EMAIL ADDRESS
_____________________________________________________________________________
(CAL’s main form of communication is via email – please print clearly - indicate if you have NO email)
Please indicate position you are volunteering for:
OMHA Certification Required:
OMHA Cert. # (proof of cert. may be req’d)
Head Coach
Novice & IP must be certified under the Hockey Canada Initiation
Program (CHIP) & be registered with the OMHA
Atom must have a minimum of CHIP or NCCP Coach Stream
certification & be registered with the OMHA
Peewee - Midget must have a minimum of NCCP Coach Stream
certification & be registered with the OMHA
MUST have Prevention Services PRS (Speak Out)
Trainer
All House League Teams must include a Team Official who is
Certifi