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Women's National Team Appearance Request Form
Women's National Team Appearance Request Form
First Name
(Required)
Last Name
(Required)
P/T
(Required)
- Select -
Alberta AB
British Columbia BC
Manitoba MB
Newfoundland NL
New Brunswick NB
Northwest Territories NT
Nova Scotia NS
Nunavut NU
Ontario ON
Prince Edward Island PE
Quebec QC
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Yukon YT
Alaska AK
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Delaware DE
District of Columbia DC
Florida FL
Georgia GA
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Indiana IN
Iowa IA
Kansas KS
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Louisiana LA
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Massachusetts MA
Michigan MI
Minnesota MN
Mississippi MS
Missouri MO
Montana MT
Nebraska NE
Nevada NV
New Hampshire NH
New Jersey NJ
New Mexico NM
New York NY
North Carolina NC
North Dakota ND
Ohio OH
Oklahoma OK
Oregon OR
Pennsylvania PA
Puerto Rico PR
Rhode Island RI
South Carolina SC
South Dakota SD
Tennessee TN
Texas TX
Utah UT
Vermont VT
Virginia VA
Washington WA
West Virginia WV
Wisconsin WI
Wyoming WY
Email
(Required)
Phone
(Required)
What type of appearance are you interested in?
(Optional)
- Select -
In person Clinic
In-person Speaking
Camp Appearance
Via Zoom
Pre-recorded Video
First Choice of Athlete
(Optional)
- Select -
Second Choice of Athlete
(Optional)
- Select -
If your selected Athletes are unavailable would you be willing to have someone else?
(Optional)
Yes
No
Desired date/time of event
(Optional)
Tell us more about your event
(Required)
Are you prepared to provide compensation for this appearance?
(Optional)
Yes
No
If yes, can you explain what your P/T is prepared to offer
(Optional)
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