SIM Floorball CHALLENGE 2009 OFFICIAL ENTRY FORM CLOSED CATEGORY Name of Team: _______________________
Position
Name
Email:
[email protected] Gend er
NRIC No.
Contact No.
Date of Birth
1. Player (Captain) 2. Player 3. Player 4. Player
□ Open Challenge (for all SIM students and staff)
□ Inter-Clubs Challenge
I certify that the above particulars are correct and the players conform to the Rules and Regulations of the Tournament. Name: ________________________ (Captain)
Signature: _____________________
Date: _____________
Note: Players are allowed to participate in both the Open and Inter-Club categories as two different teams.