Mount Allison Football Coaching Clinic
Registration Form

Name:       _____________________




Address:   ___________________________________________________


______________________________ ______________________________ ____________



(postal code)

Home Phone:   _____________________________

Work Phone:   _____________________________

E-Mail Address:  ____________________________

School Team:   _____________________________


Registration Fees for Coaches (Players Admitted Free)

In Advance At the Door



Note: Registration fee includes lunch for coaches. Players will be charged $7.00 for "all you can eat" lunch.

Make Cheques Payable to 5th Quarter Club

Mail Payment to:
Mount Allison University 
Football Office
60 York Street
Sackville, N.B., E4L 1C8