NOTE-If players are from multiple regions, the Area Director must also sign.
HEAD COACH: Level of Certification: Date CDC Concussion Cert.:
PHONE: Date of Certification: Safe Haven Cert.:
ASST. COACH: Level of Certification: Date CDC Concussion Cert.:
Date of Certification: Safe Haven Cert.:
Coach level certification listed must be the level required for the team’s division.
PHONE: Coach level certification listed must be the level required for the team’s division.
By my signature below, I certify that all players on this roster are valid registered players in my region and are approved to participate in this tournament. All Tournament Rules have been read and will be followed.
REGIONAL COMMISSIONER:
PHONE:
RC SIGNATURE (in RED ink): RC Email:
DATE:
REQUIRED ONLY if players are from multiple regions.