First Name

*

Last Name

*

Title

Select One Coach Assistant Coach Manager Fundraising Administrator Social Director President Vice President Secretary PTA Member PTA President Booster Member Booster President Other *

Contact Information

Phone

*

Best time to call

*

email

*

Organization Information

Type of Organization

Select one of the following: Sports Team Boy Scouts/Girl Guides Elementary School Middle School High-School College University Religious Group Charity Organization Other group   *

Type of Group

Select one of the following Ballet Band Baseball Basketball Charitable Cause Cheereleading Church Class Trip Dance Football Golf Hockey LaCrosse Music Prom Other Ringuette School Senior activity Soccer Softball Swim Team Volleyball Wrestling Youth Group Other *

If other group give description  

Boys/Girls

Select One Boys Girls Both *

under 7 7-9    9-11          11-13   13-15  Over 15