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NCLL REGISTRATION FORM
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* Indicates required question
Email
*
Your email
Athlete's Full Name (Last, First)
*
Your answer
Registered and paid to attend Brampton Tournament in 2021?
Yes
No
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What even are you registering for?
Brampton U13/15 December 27/28 U17/20 December 29/30
Massena Tournament March 3/4/5
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Date of Birth
*
MM
/
DD
/
YYYY
Home Box Association
*
Your answer
Gender
*
Female
Male
Prefer not to say
Shoot
*
Right
Left
Position
*
Player
Goalie
Highest level played? OLA - A, OLA - B, OLA - C (If other please specify)
Your answer
Emergency Contact OR Parent/Guardian Name
*
Your answer
Emergency Contact OR Parent/Guardian Contact Number
*
Your answer
Player Mailing Address
*
Your answer
New to the NCLL? Who referred you?
Your answer
Anything you would like us to know?
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Payment Method
*
e-transfer send to
info@ncll.ca
password Lacrosse (preferred)
Please note that until you have received a confirmation from your coach you are not registered nor assigned to a team.
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