COACHING FEED BACK FORM

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					                   COACHING FEED BACK FORM

Parents name: (Optional) ________________________________


Team: (Please circle)

OMHA        Tri-County

Mytes Tykes    Atom PeeWee Bantam Midget

Red   White

Coaches Name:__________________________________________

Assistant Coach Name:____________________________________

Trainers Name: ___________________________________________

Mail to: Denis Fournier
         131 Corbett Drive
         P.O. Box 349
         Pontypool, Ontario
         L0A-1K0

This form will remain confidential and will only be reviewed by the Head Coach,
President, OMHA and Tri-County Conveyors prior to the coaching selections
process.

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