Form - Sport Split

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You can also call us M-F 8am-4pm AST.

902-425-5450

sportsplit@sportnovascotia.ca

Club / Team Name

Provincial Sport Organization

Your Role with the Team / Club

First Name

Last Name

Phone Number

Mailing Address

City/Town

Postal Code

I agree to follow all the rules and regulations of the Sport Split 50/50 raffle and agree that all proceeds from the program must be used to offset expenses related to amateur sport programming.

I agree

I would like to receive emails regarding Sport Nova Scotia programs and events. (optional)

Yes