subject_line
Eastern Region Annual Meeting
March 20 2021
Zoom
Eastern Region Annual Meeting
March 20 2021
Zoom
If you need to register more than four (4) Delegates please complete and submit this form then fill it out again and resubmit.
League
*
Bux-Mont
Capital District PWFF
Central Jersey PWFC
Central NY PWF, Inc.
Delaware Valley Pop Warner
Greater Metropolitan Youth Football League
Greater Watertown PWFL
Henlopen PWFL
Liberty PWFC
Maryland Football Association
Mid-Hudson PW
New Jersey Shore PWFL
Newark PWFL
North Jersey Pop Warner
Pop Warner of Burlington County
Rockland County PWYFL
Tri-Valley PWFC
Western NY PWFL
Region Staff
Are you Attending the meeting
*
Yes
No
Delegate1 Information:
Delegate 1 Title
*
President
Vice President
Cheer Coordinator
Football Commissioner
Scholastic Coordinator
Roster Software Contact
Secretary
Treasurer
Trustee
Other
Delegate 1 First Name
*
Delegate 1 Last Name
*
Street Address
*
Address Line 2
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Phone Number
*
Delegate 1 Email Address
*
Delegate 2 Title
President
Vice President
Cheer Coordinator
Football Commissioner
Scholastic Coordinator
Roster Software Contact
Secretary
Treasurer
Trustee
Other
Delegate 2 First Name
Delegate 2 Last Name
Delegate 2 Phone Number
Delegate 2 Email Address
Delegate 3 Title
President
Vice President
Cheer Coordinator
Football Commissioner
Scholastic Coordinator
Roster Software Contact
Secretary
Treasurer
Trustee
Other
Delegate 3 First Name
Delegate 3 Last Name
Delegate 3 Phone Number
Delegate 3 Email Address
Delegate 4 Title
President
Vice President
Cheer Coordinator
Football Commissioner
Scholastic Coordinator
Roster Software Contact
Secretary
Treasurer
Trustee
Other
Delegate 4 First Name
Delegate 4 Last Name
Delegate 4 Phone Number
Delegate 4 Email Address