2008-2009 CLUB COACHES LIST

PLEASE COMPLETE & SUBMIT (E-MAIL/FORWARD) TO:
Skate Canada - Central Ontario
111 Snidercroft Road, Unit A, Concord, ON., L4K 2J8
(SUBMIT button is at the bottom of this form)

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2008-09 COACHING STAFF LIST
Please Indicate Form Submission Number (1,2,3 etc.)

CLUB NAME:
CLUB COACHES REP NAME:
CLUB COACHES E-MAIL ADDRESS::

NAME:
ADDRESS
CITY/TOWN
PROVINCE:
POSTAL CODE:
AREA CODE & TELEPHONE: HOME:
EMAIL: HOME:
SKATE CANADA #
CC #

Full Time? YES NO
Part Time? YES NO
Freelance? YES NO

What Programs do you coach?
Please list Other Clubs that you coach at...

NAME:
ADDRESS
CITY/TOWN
PROVINCE:
POSTAL CODE:
AREA CODE & TELEPHONE: HOME:
EMAIL: HOME:
SKATE CANADA #
CC #

Full Time? YES NO
Part Time? YES NO
Freelance? YES NO

What Programs do you coach?
Please list Other Clubs that you coach at...

NAME:
ADDRESS
CITY/TOWN
PROVINCE:
POSTAL CODE:
AREA CODE & TELEPHONE: HOME:
EMAIL: HOME:
SKATE CANADA #
CC #

Full Time? YES NO
Part Time? YES NO
Freelance? YES NO

What Programs do you coach?
Please list Other Clubs that you coach at...

NAME:
ADDRESS
CITY/TOWN
PROVINCE:
POSTAL CODE:
AREA CODE & TELEPHONE: HOME:
EMAIL: HOME:
SKATE CANADA #
CC #

Full Time? YES NO
Part Time? YES NO
Freelance? YES NO

What Programs do you coach?
Please list Other Clubs that you coach at...

NAME:
ADDRESS
CITY/TOWN
PROVINCE:
POSTAL CODE:
AREA CODE & TELEPHONE: HOME:
EMAIL: HOME:
SKATE CANADA #
CC #

Full Time? YES NO
Part Time? YES NO
Freelance? YES NO

What Programs do you coach?
Please list Other Clubs that you coach at...



For additional coaches please re submit this form,
indicating a submission number at the top of this page.