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Home > Safe Sport Monitor 2024 2025

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Registrant Information

Safe Sport Monitor

PURPOSE: The purpose of this form is to record information about a volunteer applying to be a Safe Sport Monitor for AHSHA

ROUTING: This application is automatically routed to the President, Vice President, and Administrative Support.

USA HOCKEY REGISTRATION: If you are going to be on the ice, bench, or interact with the players, you need to register with USA Hockey. Remember, you must have a registration that is current for the entire season you are applying.   

A current USA Hockey registration number is required to complete this application USA Hockey


 
Are you a returning Registrant?

First Name *


Last Name *


Birthdate *


Access Code

(Only returning registrants need to enter the Access Code.)



Email Address *


Hockey USA Number *


Address *


City / Hometown *


State *



Zip Code *


Phone Number *


Enable Text Messaging to Phone Number



Secondary Phone Number


Enable Text Messaging to Secondary Phone Number



Position Applying *

Team Preference

Phone Number - Cell *

Phone Number - Home *

Phone Number - Work

Publish this phone number

Employer *

Summary of Experience *


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