Spring House League Coaching Application

If you wish to be a Head coach in our Dippin' Dots Spring House League please complete this application form. (Note: We do not assign Assistant coaches for the Spring House League. They are selected by the Head coach). If you have any questions email Commissioner Tim Driscoll. Note: Coaches can only request a relative (son or daughter etc) to be placed on their team roster.

First Name:
Last Name:
Age:
Address:
City:
Zip:
Best Phone:
Email Address:
Detail coaching experience:
Have you previously been a HEAD coach in the SHL?:	Yes  No
If YES, When?:
What Division:	Division 1Division 3Division 4Division 5Division 6 ( Use Ctrl Key To Select Multiple )
I will have a relative playing:	Yes  No
If YES, What Division	Division 1  Division 2 (Girls Only)  Division 3  Division 4  Division 5  Division 6
List Relative's Name:
1st Division Choice:	Division 1   Division 2 (Girls Only)  Division 3  Division 4  Division 5  Division 6

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