24th Ontario Futsal Cup Champions: London Scots Corner (Men), St. Thomas Academy (Women)
 
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Team Membership Application - Ontario Futsal Association



MEN WOMEN BOYS GIRLS


AGE GROUP: U -

Club Name:
required
Team Name:
required
Name of Contact:
required
Street Address:
required
City:
required
Province:
Postal Code:
required
Email Address:
required
Home Phone:
required
Office Phone:
Fax:
ALL CORRESPONDENCE OR CONTACT WILL BE MADE TO THE PERSON NAMED ABOVE!
Name of Coach:
required
Colour of Shirts:
required
Colour of Shorts:
required

Player N0.1

First Name: Last Name :
Address: Jersey #:
Birthdate: - -

Player N0.2

First Name: Last Name :
Address: Jersey #:
Birthdate: - -

Player N0.3

First Name: Last Name :
Address: Jersey #:
Birthdate: - -

Player N0.4

First Name: Last Name :
Address: Jersey #:
Birthdate: - -

Player N0.5

First Name: Last Name :
Address: Jersey #:
Birthdate: - -

Player N0.6

First Name: Last Name :
Address: Jersey #:
Birthdate: - -

Player N0.7

First Name: Last Name :
Address: Jersey #:
Birthdate: - -

Player N0.8

First Name: Last Name :
Address: Jersey #:
Birthdate: - -

Player N0.9

First Name: Last Name :
Address: Jersey #:
Birthdate: - -

Player N0.10

First Name: Last Name :
Address: Jersey #:
Birthdate: - -

Player N0.11

First Name: Last Name :
Address: Jersey #:
Birthdate: - -

Player N0.12

First Name: Last Name :
Address: Jersey #:
Birthdate: - -

Player N0.13

First Name: Last Name :
Address: Jersey #:
Birthdate: - -

Player N0.14

First Name: Last Name :
Address: Jersey #:
Birthdate: - -

Player N0.15

First Name: Last Name :
Address: Jersey #:
Birthdate: - -

Player N0.16

First Name: Last Name :
Address: Jersey #:
Birthdate: - -

Additional Comments:

If you have any questions, here's our contact information:

Ontario Futsal Association
Affiliated with the Canadian Futsal Association

71 South Valerie Street,
St. Thomas, Ontario, Canada N5R 1B1
phone 519-631-5852
fax 519-631-8262
email: r.luft@sympatico.ca

 
 
   
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