Belleville Minor Hockey Association (BMHA)

HOCKEY CANADA INTRO COACH CLINIC PRE-REGISTRATION

• This clinic is for persons who do not presently hold an Intro Coach (CHIP) credential and are planning on coaching Timbit and Tyke House League in the upcoming season.  Please note that Intro Coach (CHIP) is the only eligible Coaching Credential recognized for Timbit (Initiation Program) and Tyke House League.
• This is a Pre-Registration for the clinic, the balance of the clinic fee will be due upon arrival. Pre-Registration Refunds will not be issued should you fail to attend the clinic unless sufficient notice is given.
• The BMHA no longer accepts personal cheques, you may register online using a Visa / Mastercard or in person at the BMHA Office using Cash, Interac, Visa or Mastercard.
   

*	First Name:
*	Last Name:
*	Address:
	Address 2:
*	City:
*	Province:
*	Postal Code:
*	Email Address:
*	Phone:
*	Which Minor Hockey Association(s) will you be coaching in 20102/ 2013?	BMHABDGMHAQuinte AAAOtherOther...
	If 'Other', please specify
	Comments or Questions
*	Clinic Pre-Registration Fee	$25.00
	Total:
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