Bench Staff Submission Form Tournament Host Event Date Team Information Association Team Name Head Coach Age Group Please select one U7 U8 U9 U10 U12 U14 U16 U19 18+ 35+ Level Please select one AA A A Jacks B BB C CC Dev U12 Prov. U12 Reg. Not Participating Section Bench Staff #1 - Not Participating Full Name Bench Staff #2 - Not Participating Full Name Bench Staff #3 - Not Participating Full Name Bench Staff #4 - Not Participating Full Name Bench Staff Substitution Section Bench Staff #1 - Substituting Full Name ORA # for Bench Staff Team Name Team Number Age Group/Level # of Games Substituting Bench Staff #2 - Substituting Full Name ORA # for Bench Staff Team Name Team Number Age Group/Level # of Games Substituting Bench Staff #3 - Substituting Full Name ORA # for Bench Staff Team Name Team Number Age Group/Level # of Games Substituting Bench Staff #4 - Substituting Full Name ORA # for Bench Staff Team Name Team Number Age Group/Level # of Games Substituting If a substitute Bench Staff is required due to an absent Bench Staff, any ORA registered bench staff with the appropriate qualifications can become a valid participant of that Bench Staff as long as the overall bench staff requirements are met. APPROVALS: All substitutions for bench staff in tournament play must be approved by ORA Technical Director prior to the tournament beginning or must be approved by the Host Region Coach or G&T Coordinator during the tournament in case of emergency. Approved By Position Email Name of Coach Requesting Date Form Received Date Approved