Team & Contact Information

Youth Information Request

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Team Name:

First Name:*

Last Name:*

Email Address:*

Phone Number:

Street Address:

City:

Province / State:

Postal / Zip Code:

Tournament Location:*

Tournament Season:

Tournament Date:

Team Age Breakdown:*

Minor Aged Players Only

Major Aged Players Only

Mixed Ages

Team Level:

Body Contact:*

Does your team play contact

Yes, we play full body contact

No, we play no body contact

How did you find out about the event?:

Additional Notes: