Barrie Tornado Minor Lacrosse
Coach  -  Asst. Coach  -  Manager  -  Trainer  -  Convenor
Application Form
(Please print)
Name:
Address:
Home Phone:			Bus Phone:						Cell Phone:
Email:
Position for which you are applying. (Please number in order of preference)
____ Coach	____  Asst Coach				____  Manager		____  Trainer				____  Convenor
List all Coach or Trainer Accreditation
Sport		Level				Date Acquired				Number
Note:  All Rep Coaches and Trainers must have proper accreditation.  Opportunities will be provided to acquire the needed levels.
Team for which you are applying.  (Please number in order of preference)
House League				Rep				Field
____  Paperweight Development				____  Tyke				____  Tyke
____  Paperweight				____  Novice				____  Novice
____  Tyke				____  Peewee				____  Peewee
____  Novice				____  Midget				____  Midget
____  Peewee				____  Intermediate
____  Midget
List most recent Coaching, Trainer or other Lacrosse experience.
Season			Team			Association			Position
List three Lacrosse related references will their contact information.
Name				Phone				Email
Signature						Date
I certify that the information that I have provided in the application is true.  I understand that if I am selected for a position, I must abide by the rules and regulations of BSSMLA.
Please forward applications:  fax: (705) 456-7251 or tornadolacrosse@rogers.com or mail:  53 Churchill Drive #1B, Barrie, Ontario L4N 8Z5