Inter-Club Transfer Form
Name:
*
First Name
Last Name
Date of Birth:
*
-
Month
-
Day
Year
Date
Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address:
*
example@example.com
Phone Number:
*
Please enter a valid phone number.
Format: (000) 000-0000.
Club Transferring FROM:
North Winnipeg Falcons
East Winnipeg Gryphons
West Winnipeg Shamrocks
South Winnipeg Sidewinders
EastMan Wizards
Ojibway Nationals
Carberry Crush
Neepawa Noize
Thompson Lacrosse
Wheat City Wranglers
Interlake Storm
Southman Saints
Club Transferring TO:
North Winnipeg Falcons
East Winnipeg Gryphons
West Winnipeg Shamrocks
South Winnipeg Sidewinders
EastMan Wizards
Ojibway Nationals
Carberry Crush
Neepawa Noize
Thompson Lacrosse
Wheat City Wranglers
Interlake Storm
Southman Saints
Division:
*
u7/u9
u11
u13
u15
u17
Reason for Transfer:
*
Athlete Signature:
*
Date:
*
-
Month
-
Day
Year
Date
Parent/Guardian Name (if under 18):
First Name
Last Name
Parent/Guardian Signature:
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Should be Empty: