Guelph Minor Hockey Association
100 Crimea Street, Unit C11, Guelph Ontario, N1H 2Y6
Tel:519-824-5910 Fax: 519-824-6273
www.guelphminorhockey.com
Subject: TEAM OFFICIAL INFORMATION
This form is to be used for each team that requires an official OMHA roster.
Team Name ______
Division ______(Midget, Minor Midget etc)
Category AAA / AA /A / House League Select / Minor Development (circle)
Team Contact Information to be used by Ice Scheduler and Office only
Name ______
Email Address ______
Home Phone ______
Work Phone ______
Cell Phone ______
Each Rep / Select / Minor Development team must consist of a minimum of 3 (coach, trainer, manager) and a maximum of 5 team officials. For House League Team Officials there is a minimum of 2 (head coach and trainer) and maximum of 5 officials. If 5 officials are being rostered to a House League team one official must be the manager. Teams may not assign an Assistant Trainer if they are not rostering an Assistant Coach.
Please complete the following information for each Team Official to be on the official team roster
Please return via email or hard copy to or attention the Hockey Office c/o Thea Davis.
Teams will not be rostered unless both the team official and player information has been forwarded.
page 1 of 4
1. Team Official
Head Coach / Trainer / Manager / Assistant Coach / Assistant Trainer (circle)First and Last Name
Address
City
Postal Code
Date of Birth mm/dd/yy
Phone Number
Email Address
Coaches Cert #
Trainers Number #
PRS # (required for each official )
2. Team Official
Head Coach / Trainer / Manager / Assistant Coach / Assistant Trainer (circle)First and Last Name
Address
City
Postal Code
Date of Birth mm/dd/yy
Phone Number
Email Address
Coaches Cert #
Trainers Number #
PRS # (required for each official )
page 2 of 4
3. Team Official
Head Coach / Trainer / Manager / Assistant Coach / Assistant Trainer (circle)First and Last Name
Address
City
Postal Code
Date of Birth mm/dd/yy
Phone Number
Email Address
Coaches Cert #
Trainers Number #
PRS # (required for each official )
4. Team Official
Head Coach / Trainer / Manager / Assistant Coach / Assistant Trainer (circle)First and Last Name
Address
City
Postal Code
Date of Birth mm/dd/yy
Phone Number
Email Address
Coaches Cert #
Trainers Number #
PRS # (required for each official )
page 3 of 4
5. Team Official
Head Coach / Trainer / Manager / Assistant Coach / Assistant Trainer (circle)First and Last Name
Address
City
Postal Code
Date of Birth mm/dd/yy
Phone Number
Email Address
Coaches Cert #
Trainers Number #
PRS # (required for each official )
page 4 of 4
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