Add Bench Staff (Burlington City Rep Hockey Club)

Print Add Bench Staff

Bench Staff includes Coaches, Trainers and Managers.

Team Name^*
First Name^*

Person being added to the Team Roster
Last Name^*

Person being added to the Team Roster
Position^*
Is the Manager going on the Bench during games?
Rostered Position (Allowed on the Bench)
Non-Rostered Position (Not allowed on the Bench)
Please disregard this question unless you chose MANAGER in the previous question.

Date of Birth^*

Open the calendar popup.

Required to access Hockey Canada profile

Address^*

Full Address including Postal Code
Do you have a child playing on this team?^*
ParentNon-Parent

Contact Info

This contact info will be used by the Eagles Office Staff and Administration.

Email Address^*

Example: [email protected]
Phone Number^*

Example: ###-###-####
Is this the Contact Info you would also like visible on the Eagles Website?^*
YESNO
If NO, please complete Eagles Website Contact information below
Eagles Website Email Address

Not required if same as above
Eagles Website Phone Number

Not required if same as above

Any additional information or instructions

Human Validation

Check The Box ^*

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Mon May 21, 2018

Printed from burlingtoneagles.com on Monday, May 21, 2018 at 12:54 PM

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