OWHA Team Official/ Staff (London Devilettes)

OWHA Team Official/ Staff

This form is used to submit Team Official/staff information for OWHA rostering. This includes on ice helpers. This form will send entered information to [email protected] Managers who are not on the bench for games or on the ice for practices do not need be rostered. LDGHA pays for a maximum of 5 roster team official for both HL and competitive teams. Competitive teams who roster more than 5 staff will be charge approximately $50 per additional official. If submitting more than 5 Staff - submit the form twice. PLEASE ENTER FULL ADDRESS, INCLUDING POSTAL CODE. INCLUDE PHONE NUMBER.

Team

Current LDGHA Team:^*

First Tournament Date

FYI For the registrar

House League Team/Coach Name

Submitted by ^*

Submitted Email Address^*

Example: [email protected]. Your submission will be sent to this address.

Team Official 1

Role Name^*

First name

Last Name

Cert Number

Date of Birth^*

Type month date and year eg. January 1, 1990

Full Address

Street Address, City, Province and POSTAL CODE

Main Phone Number

Example: ###-###-####

Team Official 2

Role

First name

Last Name

Cert Number

Full Address

Street Address, City, Province and POSTAL CODE

Main Phone Number

Example: ###-###-####

Date of Birth^*

Type month date and year eg. January 1, 1990

Team Official 3

Role

First Name

Last Name

Cert Number

Full Address

Street Address, City, Province and POSTAL CODE

Main Phone Number

Example: ###-###-####

Date of Birth^*

Type month date and year eg. January 1, 1990

Team Official 4

Role

First Name

Last Name

Cert Number

Full Address

Street Address, City, Province and POSTAL CODE

Main Phone Number

Example: ###-###-####

Date of Birth^*

Type month date and year eg. January 1, 1990

Team Official 5

Role

First Name

Last Name

Cert Number

Full Address

Street Address, City, Province and POSTAL CODE

Main Phone Number

Example: ###-###-####

Date of Birth^*

Type month date and year eg. January 1, 1990

OWHA Team Official/ Staff (London Devilettes)

Team

Team Official 1

Team Official 2

Team Official 3

Team Official 4

Team Official 5

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