Coach Registration Coach Registration Name Name First First Last Last Address Address Address Address City City State/Province State/Province Zip/Postal Zip/Postal Home Phone Cell Phone Email Date of Birth Birth Certificate # OHIP # Terms & Conditions I agree that Grandravine Special Hockey is not responsible for any bodily injury, loss or damage to personal property suffered by the participant either before, during or after the program. I agree that in the event of emergency medical attention or emergency evacuation, I will not hold Grandravine Special Hockey responsible for any costs arising from said situation. The use of illegal drugs by a coach will result in dismissal from Grandravine Special Hockey. Sexual, physical or verbal harassment by a coach towards others will result in dismissal from Grandravine Special Hockey. If a coach engages in any activity that is deemed to be detrimental to Grandravine Special Hockey or it's members, that coach can be expelled from the program. Terms Agree * I Agree Do you agree to the terms and conditions above? Season Submit If you are human, leave this field blank.
