NLVA Online Team/Player Registration Form

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

Tournament:
Name of Club/Team:
Team Contact:
Address:
City/Town:
Province:
Postal Code:
Email:
Phone # (h):
Phone # (w):
Fax #:
NOTE: If Head Coach is the same as the Team Contact, leave this section blank and select the box:
Same as Team Contact
 
Head Coach:
Address:
City/Town:
Province:
Postal Code:
Email:
Phone # (h):
Phone # (w):
Fax #:
Team Classification:
Male
Female
Co-Ed
Tournament Type:
Recreation
Prov/Nat Qualification
Please provide player information for each player on roster:
  • Full name
  • Date of birth
  • Address in full
  • E-mail
  • Phone Number
  • Emergency Contact Name and Ph. #
Player 1:
 Player 2:
Player 3:
 Player 4:
Player 5:
 Player 6:
Player 7:
 Player 8:
Player 9:
 Player 10:
Player 11:
 Player 12:
Player 13:
 Player 14:
Player 15:
  
Method of Fee Payment:
PayPal (Credit Card Online)
Cheque/Money Order in Mail
 

::Site best viewed with 800x600 resolution or higher::