Your Name *

Your Email *

Team Name *

Your team's home city *

Head Coach *

Head Coach email address *

Team Record For The Past 3 Years *

Please list any notable wins your program has had in the last 3 years (Ex: League Championship, Tournament Titles etc.) *

How many returning players do you anticipate having this year? *

Please list any notable players on your roster this season (ex: Provincial team members, National team members, if your home district has any City/Board All-Star games were any of your players named to a team, etc.) *

Are you able to host any of the Circuit Sessions? *

Please include any additional information you feel the selection committee should know about your team. *

Please verify that you are a human.