JUNIOR COACH APPLICATION

Junior Coaches role on the bench is to act as a role model for young players, share their knowledge with the other team staff and players, and provide support to the other team staff and players.

The Junior Coach is NOT the certified coach OR female on the bench. There must be a certified coach and female on the bench other than the Junior Coach at all games.

The Junior Coach counts toward the total of five (5) bench staff allowed on the bench for games.

Eligibility:
15-17 years old as of December 31st of the current playing season.
Must be currently playing or have played within the last two seasons.

Requirements:
Respect in Sport
Coach Initiation in Sport
Bench Staff Code of Conduct
Junior Coach Agreement (will be sent upon receipt of application)

Instructions:

To complete with both signatures:

President complete their sections and signature
President save the form by clicking 'Save for Later'
President receives link to complete the form in their email and forwards the email to the Parent/Guardian
Parent/Guardian follows link in the forwarded email
Parent/Guardian completes their signature signature
Parent/Guardian clicks 'submit'

Any submission issues can be directed to Ashlee ringette@sportmanitoba.ca

Junior Coach Information:

First name *

Last name *

Email *

Date of birth *

Minimum age 15 years, maximum age less than 18 years, as of 2026-12-31. Must be born after 2008-12-31 and before 2011-12-31.

Association *

Association

Club (Eastman only, all other association enter N/A) *

Club (Eastman only, all other association enter N/A)

Name of Team Assigned to Junior Coach *

Name of Team Assigned to Junior Coach

Team Division/Level *

Team Division/Level

Head Coach Information

First name *

Last name *

Email *

The Head Coach is responsible for mentoring the Junior Coach. Is the Head Coach aware of this application? *

The Head Coach is responsible for mentoring the Junior Coach. Is the Head Coach aware of this application? Yes No

President Name *

President Name

President Signature*

By signing the box below, you are accepting this individuals registration as a Junior Coach in your Local Association, have made them aware of the requirements they must complete, and have ensured that they understand their role.

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Parent/Guardian Name *

Parent/Guardian Name

Parent/Guardian signature*

As the parent/guardian of the applicant Junior Coach, by signing below I approve of this application and will ensure the applicant is aware of the requirements they must complete.

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Parent/Guardian signature Signature pad

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