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Basic Information
Club / Team Name
*
If your club has more than one team willing to participate, please enter the club name.
Club / Team City
*
If your club has more than one team willing to participate, please list all team cities.
Applying for
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Select League
NPH Showcase League
NPH D1 Academy
NPH D1 Scholastic
NPH D1 Junior
Grade
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Grade 5
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12+
Is your club planning on registering more than 1 team?
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No
Yes
Possibly
Brief synopsis about your team
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Examples include: divisions & leagues previously participated in, results from those participations, skill level of players
Please list all the other teams your club is planning to register
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One team per line
Point of Contact (POC)
POC Full Name
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POC Role
*
Coach
Assistant Coach
Team Manager
POC Email
*
POC Phone #
*
If accepted, how would you like to pay?
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