Inter-Club Transfer Form

Inter-Club Transfer Form
Name:*

First NameLast Name
Date of Birth:*

MonthDayYear
Date
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address:*
example@example.com
Phone Number:*
Please enter a valid phone number.
Club Transferring FROM:

North Winnipeg FalconsEast Winnipeg GryphonsWest Winnipeg ShamrocksSouth Winnipeg SidewindersEastMan WizardsOjibway NationalsCarberry CrushNeepawa NoizeThompson LacrosseWheat City WranglersInterlake StormSouthman Saints
Club Transferring TO:

North Winnipeg FalconsEast Winnipeg GryphonsWest Winnipeg ShamrocksSouth Winnipeg SidewindersEastMan WizardsOjibway NationalsCarberry CrushNeepawa NoizeThompson LacrosseWheat City WranglersInterlake StormSouthman Saints
Division:*

u7/u9u11u13u15u17
Reason for Transfer:*
Athlete Signature:*

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Date:*

MonthDayYear
Date
Parent/Guardian Name (if under 18):

First NameLast Name
Parent/Guardian Signature:

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Should be Empty: