Thank you for your interest in the Heartland Dragons!

While the process to become a coach may seem difficult in terms of police checks and certifications, it is necessary to ensure our children learn to play hockey are in a safe and positive environment.  Please complete the form below. If you have any additional questions, please feel free to contact us! Once your form has been submitted, our coach committee will strive to contact you within 72 hours after receipt of your application. If we fail to do so, please feel free to email us directly at info@heartlanddragons.com 

Need More Information? Check out the MHL Coach Guide!

General Information

Name*
Email*
Phone*
Street Address*
City*
Desired Coach Position*
Desired Age Level*


Child on Team*
If so, Current Age
Current level

Certification(s)

Respect In Sport (Speak Out): YesNo
Police Check (Year):

Certification Level Year Obtained Number (if applicable)

Experience

Organization Position Age Level

Coaching Philosophy and/or Additional Information

[recaptcha] Please be patient, sometimes this form takes a while to send!