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^*
This question is only to be answered if the Position you chose was Manager. 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^*

Required to access Hockey Canada profile

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