Test - NSA Canada

First Name

Last Name

Date of Birth

Phone Number

City

Province

Current Ranking With NSA Canada

Current Ranking with any other Governing Bodies other than NSA Canada/what governing bodies

List all current or past teams played for in the last 3 years/divisions played on these teams/state whether tournament or league team:

Major events attended in the last 3 years such as provincials / worlds / nationals in any organization/what division played at the events:

Reason for ranking change request: IE) Major debilitating injury / advanced age / minimum 3 years no longer playing at higher level )

ADDITIONAL ITEMS:

1) Failure to supply all information requested will result in request being automatically denied.

2) False statements or “leaving out” information will result in request being automatically denied.

3) NSA Canada’s decision will be final, this is your chance to convince us that you need to be moved for the betterment of our game, be convincing and provide info to back up your statements.

4) Requests for ranking changes will only be accepted between October 15th and June 15th of the following year.

5) NSA Canada will contact you if additional information is required.