Football Team Roster / Fiche d`équipe / Mannschafts Formular

Football Team Roster / Fiche d`équipe / Mannschafts Formular

Football Team Roster / Fiche d’équipe / Mannschafts Formular
Delegation Name
Postal Address / email address
MobilePhone Number (of participating Coach)
Head Coach
Coach
LEVEL OF TEAM
under Role use P for Partner and A for Special Olympics Athlete
Family Name
First Name
Role
Uniform Number
1
2
3
4
5
6
7
8
9
10
Number of Meals : ______________________
Signature of HEAD Coach : ____________________________________________
3, route d’Arlon, L-8009 Strassen, Luxembourg
Tel +352 407722 www.specialolympics.lu
[email protected] / [email protected]
Luxembourg