Willing-to-Host a Provincial Team This Form is to provide Western Region and its Associations with information regarding the declaring of a team(s). The data will be used to help determine the number of potential teams and the availability of players prior to tryouts. Association Name: Level of Play Offered: A AA Age Division: U12P U14 U16 U19 NOTE: a separate form must be submitted for each age division Qualified Coach (name): Key Contact for Team during Tryouts: NAME: _____________________________________________________________________ PHONE: ____________________________________________________________________ EMAIL: _____________________________________________________________________ COMMENTS: ________________________________________________________________ ____________________________________________________________________________ Association President(s) agree to this Provincial team Submission and confirms ice availability to support the team. If Combined Team, both Association Presidents must sign. Print Name Sign Name Date
Willing-to-Host a Provincial Team This Form is to provide Western Region and its Associations with information regarding the declaring of a team(s). The data will be used to help determine the number of potential teams and the availability of players prior to tryouts. Association Name: Level of Play Offered: A AA Age Division: U12P U14 U16 U19 NOTE: a separate form must be submitted for each age division Qualified Coach (name): Key Contact for Team during Tryouts: NAME: _____________________________________________________________________ PHONE: ____________________________________________________________________ EMAIL: _____________________________________________________________________ COMMENTS: ________________________________________________________________ ____________________________________________________________________________ Association President(s) agree to this Provincial team Submission and confirms ice availability to support the team. If Combined Team, both Association Presidents must sign. Print Name Sign Name Date
wthform.docx