If you wish to be a Head coach in our Pepsi Kids Beginner Hockey programs please complete this form. (Note: We do not assign Assistant coaches. They are selected by the Head coach).  If you have any questions please email Tim Driscoll.

First Name
Last Name
Age
Address
City
Zip
Best Phone #
Email Address
Have you previously coached Pepsi Kids?	Yes  No
If YES, when ?
Would you like to coach PRE-pepsi kids also ?	Yes  No
I have a relative playing	Yes  No
If YES, list name
I prefer to coach at	Holiday Twin Rinks  Leisure Rinks
List any players you would like on your team
Detail any coaching experience

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