Sanctioned Event Permit

Club name:

Contact name:

Email:

Contact phone number:

Name of event:

Start date:

Discipline:

Age group:

Level of play:

Event location(s) (name and address):

Lead instructor (first, last, NCCP #):

Other instructors (please list):

Projected instructor-to-athlete ratio per group (i.e., 1-4, 1-3, etc.):

Projected number of participants in total (per age group if possible):

Type of event (please describe):

Cost per participant:

Submit