MLA Travel Permit Form
This form is required in order for clubs/teams/programs to travel out-of-province for lacrosse activity. The Travel Permit form must be submitted 30 days prior to the date of travel.
Club
Team Name
Class Level
Community Level (recreation)
Provincial Level (high-performance)
Private Team
Is this an existing team or a team formed for the purposes of this event?
Existing team
Team is formed for this event
If this is a team being formed for the purposes of this event, please describe the vision and purpose of this event and list the deliverables/measurable outcomes
Contact Name
First Name
Last Name
Contact Email
example@example.com
Contact Phone Number
Please enter a valid phone number.
Start Date
-
Month
-
Day
Year
Date
Return Date
-
Month
-
Day
Year
Date
Name of Event
Event Location
Discipline
Box Lacrosse
Men's Field Lacrosse
Women's Field Lacrosse
Sixes
Wheelchair Lacrosse
Age Category
U7
U9
U11
U13
U15
U17
U19
U22
Senior
Masters
Tier of Division Entered (if applicable)
A
B
C
N/A
Means of Travel
Airplane (group)
Team Bus
Individual Travel
Name of Accommodations
Accommodations Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Head Coach Name
First Name
Last Name
Head Coach NCCP#
Head Coach Email Address
example@example.com
Head Coach Phone Number
Please enter a valid phone number.
List All Other Team Staff Traveling (name and NCCP)
Number of Athletes Traveling
Submit
Should be Empty: