OPC LEAGUE REQEST FORM
Request your preferred division for OPC Bracketing to Club Directors
Team Leader Submitting Bracketing Request
First Name
Last Name
Team Role
Please Select
Head Coach
Asst Coach
Team Manager
Team Treasurer
Other
Team Leader Email (from above)
example@example.com
Team Birthyear
Please Select
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005/04
2004/03
Team Gender
Please Select
Boys
Girls
Team Name
Be sure to be specific
TYPE YOUR REQUEST BRIEFLY BELOW
If your team prefers to "play up", if you prefer to stay in your same bracket, etc... Be specific & concise.
Team Coaching Staff Name(s)
Digital Signature - The information submitted has been collaboratively agreed to with team leadership staff including input and final approval from the team's head coach.
Signature
Submit
Should be Empty: