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APPLICATION FORM 2010 |
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THIS APPLICATION MUST BE COMPLETED IN FULL, SIGNED AND ACCOMPANIED BY PAYMENT
TEAM
NAME
AGE GROUP
COACHES NAME
ADDRESS
CITY PROVINCE
/ STATE
POSTAL CODE
TEL.
RESIDENCE
TEL. WORK
FAX NO.
EMAIL
ASSISTANT'S NAME
ADDRESS
CITY PROVINCE /
STATE
POSTAL CODE
TEL.
RESIDENCE
TEL.
WORK
FAX NO.
EMAIL
MANAGER'S NAME
ADDRESS
CITY PROVINCE
/ STATE
POSTAL CODE
TEL.
RESIDENCE
TEL. WORK
FAX NO.
EMAIL
It is
understood and agreed that the tournament organizers, sponsors, directors,
members and officials assume no liability for injuries or other loss of any
kind as a result of participating in or traveling to and from this tournament.
SIGNED BY COACH
SIGNED BY MANAGER
DATE
Mail application and cheque payable to
c/o
Phone: (905) 814-1027
Fax: (905) 814-1027
director@nstarsnovtournament.com
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