St. Louis Cyclones & Lady Blues

 

 

 

St. Louis Lady Blues Girls Youth Hockey Association

Coaching Application

 

Information provided will be used for the selection of the Lady Blues Coaches and will be reviewed by individuals on a selection committee.

 

Please indicate the age division you wish to apply: ____12U ____14U_____16U   _____19U

 

Please indicate the type of coaching position requested:

_____Head Coach               _____Assistant Coach

 

Provide the following information:

 

Name __________________________________________________________________

 

Address ________________________________________________________________

 

City __________________________  State  _______  Zip Code  _________________

 

Home Phone #  ___________________  Work Phone #  _______________________

 

Cell Phone #  ____________________  Email Address  __________________________

 

Certified Coaching Level  1  2  3  4  5  Card #  ________________  Yr. attained _____

 

Previous Coaching experience:

 

 

 

Application must be returned to Dave Hoke by March 27 @

cyclonescoach@gmail.com