Team Roster
All associations must provide their previous season team roster information. Use this form (one for each team) or supply your
own, ensuring all information listed below is included.
1
Organization
Organization
Team name
Willoughby Mixed Slo Pitch
Coach’s name
2
Number of players
Player Information
Name
Age
Address
Postal Code
see next
Parks Operations Department
|
4700 - 224 Street, Langley, BC V2Z 1N4
|
t. 604.532.7350
|
f. 604.532.7337
|
tol.ca
Name
Age
Address
Postal Code
Any personal information collected on this form will be managed in accordance with the Freedom of Information and Protection of Privacy Act. Direct enquiries, questions,
or concerns regarding the collection, use, disclosure, or safeguarding of personal information associated with this form to:
Freedom of Information and Protection of Privacy Coordinator, Township of Langley, 20338 – 65 Avenue, Langley, BC V2Y 3J1 604.533.6101
Parks Operations Department
|
4700 - 224 Street, Langley, BC V2Z 1N4
|
t. 604.532.7350
|
f. 604.532.7337
|
tol.ca
RCP12-214
Return completed form and proof of insurance to [email protected] or fax 604.532.7337.