Add At Large Roster Staff (Burlington City Rep Hockey Club)

Print Add At Large Roster Staff
The At Large roster is used by teams to add back up coaches and trainers when their team roster is at its 5 person capacity. The Club does not cover the certification costs for At Large members with the exception of their police check.
  1. Name of person submitting the form - usually Manager
  2. Confirmation of this form will be emailed here
  3. Person being added to the At Large Roster
  4. Person being added to the At Large Roster
  5. RadDatePicker
    RadDatePicker
    Open the calendar popup.
    Required to access Hockey Canada profile
  6. Full Address including Postal Code
Contact Info
This contact info will be used by the Eagles Office Staff and Administration.
  1. Example: ###-###-####
Human Validation
Printed from burlingtoneagles.com on Friday, December 15, 2017 at 3:07 AM