Meta Wild Card Teams

Name of School/Organization*
Name of Team*
School/Organization Address*
Street Address Address Line 2 City State ZIP Code
Name of Coach
Coach's Email Address*

Please make certain your school or organizations filters are set to receive email from nclnet.org
Coach Cell Phone Number*
Name of Assistant Coach (if applicable)
Assistant Coach's Email Address*

Please make certain your school or organizations filters are set to receive email from nclnet.org
Assistant Coach Cell Phone Number*
Team Captain's Name
Each Team will need a student team captain. This can be changed later if necessary, but we do need the name of a student captain.
Captain's Email Address*
Enter Email Confirm Email

Please provide a personal email address rather than a school email address.
Team Captain Cell Phone Number*
State Coordinator Name*
If you do not know your State Coordinator's name, look it up here: https://lifesmarts.org/state-competitions/. f you need additional help, email Cherylv@nclnet.org
State Coordinator's Email Address
Enter Email Confirm Email

If you do not know your State Coordinator's email, look it up here: https://lifesmarts.org/state-competitions/. If you need additional help, email Cherylv@nclnet.org
This team is affiliated with:*

School/Organization Enrollment