2007-2008 OVER 50 NO CHECK HOCKEY APPLICATION
 

 

TUESDAY  NIGHT DIVISION

 

NAME _____________________________________DATE OF BIRTH____/___/___

 

STREET _____________________ ______________CITY_______________________

 

STATE_______________ZIP_______________E-MAIL________________________

 

HOME PHONE_____________________________ WORK PHONE______________

 

MOBILE PHONE________________________

 

     THE ABOVE NAMED REGISTRANT HAS AGREED TO PAY $220.00, (THE FIRST OF THREE PAYMENTS) TO PARTICIPATE IN THE HOCKEYTOWN USA, INC.  OVER 50 NO CHECK ICE HOCKEY LEAGUE.

     THIS FEE COVERS THE FIRST THIRD OF THE 2007-2008 SEASON. THE TOTAL COST WILL BE $660.00 TO BE PAID IN THREE EQUAL PAYMENTS. THE LEAGUE WILL CONSIST OF APPROXIMATELY THIRTY-FIVE GAMES TO BE PLAYED ON TUESDAY NIGHTS FROM SEPT. 11, 2007 THRU THE END OF MAY.  GAMES WILL BE PLAYED BETWEEN THE HOURS OF 7:40PM – 10:00PM.  INDIVIDUALS WILL BE SELECTED AND PLACED ON TEAMS.  EVERY EFFORT WILL BE MADE TO BALANCE THE TALENT LEVEL OF EACH TEAM BY THE COMMISIONER.  SHIRTS WILL BE PROVIDED BY THE LEAGUE.  MAKE CHECKS PAYABLE TO HOCKEYTOWN USA AND SIGN THE LIABILITY WAIVER ON THE BACK OF THIS APPLICATION AND SEND TO THE RINK: 

                                                  C/O   HOCKEYTOWN USA

                                                            953 BROADWAY

                                                            SAUGUS, MASS 01906

 

APPLICANT’S SIGNATURE __________________________________DATE________________

 

CUSTOMER COMMENTS & REQUEST SECTION:

 

 

 

                               FOR OFFICE  USE ONLY

 

RECEIPT # ______________    DATE ______________

 

AMOUNT PAID_______________ INITIALS ___________________

 

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