Team Roster - Langley Mixed Slo

Please complete and return via email / text / fax or drop off at YET.
Failure to do so will result in your team being asked to re-apply for the next season.
[email protected] / 604-626-0626 / 778-277-0564
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
Coach’s name
Number of players
Langley Mixed Slo-Pitch League
2
Player Information
Name
Age
Address
Postal Code
1
Parks Administration
see next
|
4700 - 224 Street, Langley, BC V2Z 1N4
|
t. 604.532.7350
|
f. 604.532.7337
|
tol.ca
Name
Age
Address
Postal Code
Return completed form and proof of insurance to [email protected] or fax 604.532.7337.
RCP16-125
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: Supervisor, Information, Privacy, and Records
Management, Township of Langley, 20338 – 65 Avenue, Langley, BC V2Y 3J1 [email protected] 604.532.7396
2
Parks Administration
|
4700 - 224 Street, Langley, BC V2Z 1N4
|
t. 604.532.7350
|
f. 604.532.7337
|
tol.ca