Team Travel Request Form

Team Travel Request Form
This form must be completed by a team representative requesting approval for team travel outside of Ontario or Canada to participate in an event or tournament.
SECTION 1 – TEAM INFORMATION
Club Name
Sector*
Age Division*
Departure Date:*

MonthDayYear
Date
Return Date:*

MonthDayYear
Date
SECTION 2: HOST TOURNAMENT / EVENT INFORMATION
Event Name
Who is hosting the event?
Event Dates:
Event Location:
Event Host Organization:
Who is hosting the event?
Event Contact Person:

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
SECTION 3: TEAM PERSONNEL INFORMATION
Note: The team, and all staff, must be duly registered with the Ontario Lacrosse Association in the year in which the travel is scheduled to occur.
Head Coach Name:

First NameLast Name
Head Coach Email
example@example.com
Head Coach Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Head Coach Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Team Manager Name

First NameLast Name
Name(s) of Team Chaperones (if applicable):
Team Manager Email
example@example.com
Team Manager Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Team Manager Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
SECTION 4: MEMBER INFORMATION
By authorizing this application form, the applicant hereby acknowledges the jurisdiction of Lacrosse Canada, Ontario Lacrosse Association and applicable leagues/associations during the time-period stated on this form, regarding the rules and expectations for representative travel to competitions. Furthermore, the applicant agrees to abide by the published rules of these organizations, as well as the competition rules of the host organization and all laws of that jurisdiction. For travel outside of Ontario, the applicant certifies that excess medical coverage (Travel Insurance) and liability insurance for the travelling team has been arranged. A copy of the Travel Insurance Policy must be attached to this form prior to receiving approval.

SECTION 4: MEMBER INFORMATION

All athletes and team personnel who are travelling must be listed. The athletes list must include only properly registered OLA members for the current season who are registered with the requesting club.

Rows	PLAYER NAME
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30

Rows	NAME
Head Coach
Assistant Coach
Assistant Coach
Assistant Coach
Trainer
Manager

SECTION 5: SUBMISSION & OLA AUTHORIZATION
Only those forms which are fully completed will be considered for OLA authorization. In addition to the completion of this form, a copy of the team's travel insurance certificate must be emailed to peter@ontariolacrosse.com no less than ten (10) business days prior to the departure date. Submissions of less than ten (10) business days prior to travel will not be considered.
Should be Empty:

Team Travel Request Form

SECTION 1 – TEAM INFORMATION

SECTION 2: HOST TOURNAMENT / EVENT INFORMATION

SECTION 3: TEAM PERSONNEL INFORMATION

SECTION 4: MEMBER INFORMATION

SECTION 4: MEMBER INFORMATION

SECTION 5: SUBMISSION & OLA AUTHORIZATION