2013 SPRING WOMENS ICE HOCKEY LEAGUE SUNDAY MORNING APPLICATION

 

 

NAME___________________________________DATE OF BIRTH_______________

 

STREET________________________________CITY___________________________

 

STATE________ZIP____________HOME PHONE____________________________

 

CELL PHONE________________________WORK PHONE____________________

 

E-MAIL________________________________________________________________

 

                                                PLEASE CHOOSE A DIVISION

                                                            C_____________

                                                             D_____________

( I WILL DO MY BEST TO ACCOMMODATE EVERYONE WHEN CHOOSING YOUR DIVISION. BUT I DO RESERVE THE RIGHT TO MAKE ANY NECESSARY CHANGES IN THE BEST INTEREST OF THE LEAGUE)

 

                                    PLEASE INDICATE PREFERED POSITION

                                                        FORWARD_____________

                                                        DEFENSEMEN__________

                                                        GOALIE________________

                                                           

THE ABOVE NAMED REGISTRANT HAS AGREED TO PAY $180.00 TO PARTICIPATE IN THE HOCKEYTOWN USA, INC. WOMENS ICE HOCKEY LEAGUE.

                THIS FEE COVERS THE SPRING SESSION OF THE 2012 HOCKEY SEASON. THE LEAGUE CONSISTS OF APPROXIMATELY 10 GAMES TO BE PLAYED ON SUNDAY MORNINGS FROM APRIL 21ST  TO JUNE 30TH .  NO GAMES MAY 26TH MEMORIAL DAY WEEKEND. GAMES WILL BE PLAYED AT 10:20AM AND 11:30AM.  INDIVIDUALS WILL BE SELECTED AND PLACED ON TEAMS. EVERY EFFORT WILL BE MADE TO BALANCE THE TALENT LEVEL OF EACH TEAM. SHIRTS WILL BE PROVIDED BY THE LEAGUE. MAKE CHECKS PAYABLE TO HOCKEYTOWN USA AND SIGN THE LIABLILITY WAIVER ON THE BACK OF THIS APPLICATION AND SEND TO:

 

HOCKEYTOWN USA

953 BROADWAY

 SAUGUS, MA 01906

 

APPLICANT’S SIGNATURE______________________________DATE__________

 

                                                           FOR OFFICE USE ONLY

 

RECEIPT #___________________DATE_________________

 

AMOUNT PAID_____________________INITIALS_________

 

 

PLEASE SIGN LIABILITY WAIVER ON THE BACK

 

 

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