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Laurie Montgomery 2010 Fall Harvest Field Shootout Registration Form Print E-mail
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Registration

  1. Minor Field Teams from Ontario: Both Box and Field OLA player cards( if applicable) for each player and bench staff must be presented at registration .

  2. Boys Age Groups: Bantam (96& 97), Peewee (98&99), Novice (00&01), Tyke(02&03). Girls, U11

 

Registration Form

 

  The Laurie Montgomery Fall Harvest Field Shootout 2010
 Please register and pay by Sept 3, 2010
    
  Team Roster & Application  
 
TEAM NAME:  
 
DIVISION:  
 
PRIMARY SWEATER COLOURS:  
 
PLAYER SWEATER # Birth D-M-Y HOME FIELD CENTRE HOME BOX CENTRE
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TEAM COACH: __________________ NCCP # AND QUALIFICATIONS__________________ NCCP # AND CERTIFICATIONS,  __________________
HOME PHONE #: __________________ _____________________________________________
Email Address Contact for team ______________________________________________
 
ASSISSTANT COACH :   NCCP # AND QUALIFICATIONS __________________
HOME PHONE #: __________________ _____________________________________________
 
TEAM MANAGER: __________________ NCCP # AND QUALIFICATIONS __________________
HOME PHONE # AND FAX #: ____________________________________ _____________________________________________
 
 
TRAINER: ___________________________ QUALIFICATIONS; ___________________________
 

Return with payment to Judy Bryan, 23 Zina Street Orangeville, Ontario L9W 1E2.
Please send copies of all bench personnel qualifications with registration along with approval letters for released players OLA player cards presented at team reg. Table at the tournament.

  Payment;    Included, cheque #_____________________     owing__________________

 
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