Roster Application - On Ice Volunteer (Burlington City Rep Hockey Club)

Print Roster Application - On Ice Volunteer
This form is to completed for anyone wishing to assist a team during practices only. Do not submit this form if you are already on any type of OMHA roster (Team or At Large). You must have GIT and RIS-Activity Leader certification or your application will be rejected. Please ensure you have submitted a Police Check with vulnerable sector screening using the Form on the Eagles website.
  1. RadDatePicker
    Open the calendar popup.
    Required to access Hockey Canada profile
  2. Full Address including Postal Code
Contact Info
This contact info will be used by the Eagles Office Staff and Administration.
  1. Example: ###-###-####
Criminal Offence Declaration

  1. I hereby declare the above statements to be true
Human Validation
Printed from on Thursday, September 19, 2019 at 11:41 AM