Sponsor Information

First Name*

Last Name*

Company Name

Address*

City/Town*

Province/State*

Select a Province Alberta British Columbia Manitoba New Brunswick Newfoundland & Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Québec Saskatchewan Yukon Out of Country

Country*

Select a Country Canada U.S.A.

Postal/Zip Code*

Phone*

Email*

Additional Information or Comments

Team Pledge

Team Pledge

$

Player Pledge

Player #

Player Name

Player Pledge

$

Fundraising Activities

Corporate Sponsorship

I am interested in becoming a Corporate Sponsor.

Yes

No

I would like a link to my Website.

Yes

No

My Website Address: