WITHDRAWAL AGREEMENT
Team Not Available to Play March 5-6, 2022.
TEAM LEADER SIGNATURE. Signing below indicates that you accept the terms and conditions listed above.
*
Your First Name
*
Please do not use your browser autofill for the name.
Your Last Name
*
Please do not use your browser autofill for the name.
Team Leader Email
*
example@example.com
Team Leader Cell/Text
-
Area Code
Phone Number
TEAM INFO
Please be specific in completing your team info below.
TEAM NAME
EX: NEOFC 2010 Girls Red
Team Birth Year
*
Please Select
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
Select the BIRTH YEAR of your TEAM.
Team Gender
*
Please Select
Boys
Girls
Select the GENDER of your TEAM.
TEAM COACH NAME
*
PARENT/GUARDIAN FIRST name - do not use autofill from your browser to completion this field.
TEAM COACH EMAIL
*
MUST be in email format
TEAM COACH CELL/TEXT
*
TEAM MANAGER NAME
*
PARENT/GUARDIAN FIRST name - do not use autofill from your browser to completion this field.
TEAM MANAGER EMAIL
*
MUST be in email format
TEAM MANAGER CELL/TEXT
*
MAILING ADDRESS FOR PAYMENT REFUND
Please enter information correctly.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
CHECK PAYABLE TO:
Please list your team account to make the check payable to here.
Submit
Should be Empty: