NOCA Member Facility Verification

NOCA Member Facility Verification
Member Facility Representative
I, First Name Last Name, representing this member facility of the Northern Ontario Curling Association, hereby confirm that the athletes mentioned below are representing our club in this year's name of event playdowns.
Name

First Name Last Name
Title
Club
Date

Month Day Year
Date
Signature

Clear
Team Information
Team Name
Skip
Vice
Second
Lead
Alternate
Coach
NOTE: If any of the players do not belong to the club the team represents, please indicate the player name and the club they are a member of. All players must belong to a NOCA affiliated club.
Other Notes
IMPORTANT: this form must be submitted at least one week prior to the start of the first day of the competition.
Should be Empty:

Member Facility Representative