2020 Northumberland Nemesis Lacrosse Clash Tournament Application

Please print out and complete this form. You can either scan it (or take a photo of it) and email it to Ken Withers nmlatournaments@gmail.com or mail it (along with your cheque) to:
Northumberland Nemesis
2 Haymur Street
Cobourg, ON
K9A 4V3
We will contact you to confirm your acceptance into the tournament once your application and cheque have been processed


2020 Application

OLA Ranking _______________________________
Team _______________________________________
Division: Tyke C/D ____________
Novice C/D __________
PEEWEE C/D __________
BANTAM B/C _________
Contact information
Manager name ____________________________
Manager phone number ___________________
Manager email _____________________________
Head coach name _________________________
Head coach phone number _______________
Head coach email _________________________




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