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:
13 and Under Pre-bantam East Male
13 and Under Pre-bantam East Female
13 and Under Pre-bantam Central Female
13 and Under Pre-bantam West Male
13 and Under Pre-bantam West Female
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14 and Under Male and Female Invitational
14 and Under Bantam Provincials Male
14 and Under Bantam Provincials Female
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15 and Under Junior High Male
15 and Under Junior High Female
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16 and Under Midget Tiered Male
16 and Under Midget Tiered Female
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17 and Under Midget plus1 Male
17 and Under Midget plus1 Female
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18 and Under Juvenile Male A
18 and Under Juvenile Male B
18 and Under Juvenile Female A
18 and Under Juvenile Female B
18 and Under Juvenile Female C
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19 and Over Bud Light Division 1 Male
19 and Over Bud Light Division 2 Male
19 and Over Bud Light Division 3 Male
19 and Over Bud Light Division 1 Female
19 and Over Bud Light Division 2 Female
19 and Over Bud Light Division 3 Female
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Bud Light Senior WarmUp Event Male A
Bud Light Senior WarmUp Event Male B
Bud Light Senior WarmUp Event Female A
Bud Light Senior WarmUp Event Female B
Bud Light Senior WarmUp Event Female C
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
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
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