Athlete Application Form

Please complete ALL fields of the following form. Once you click "SUBMIT FORM" at the bottom of the page, your application will be reviewed by the NLVA.

If you have any questions, please feel free to contact the NLVA at (709) 576-0817 or through email at nlvaruss@sportnl.ca.

Name:
T-Shirt Size:
 
Team:
 
 
Address 1:
Address 2:
City/Town:
Province:
Postal Code:
 
Email:
Phone #:
Weight:
Height:
Spike Touch:
Reach:
MCP #:
Date of Birth:
 
Regional Zone:
Western
Central
Eastern
Avalon
Labrador
 
Team:
Male
Female
Parent's Name:
 
Phone # (h):
Phone # (w):
Fax #:
Email:
Coach's Name:
 
Address 1:
Address 2:
City/Town:
Province:
Postal Code:
 
Phone # (h):
Phone # (w):
Fax #:
Email:
Method of Fee Payment:
PayPal (Credit Card Online)
Cheque/Money Order in Mail
 

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