2012 WINTER 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 $252.00 (BROKEN INTO 2 PAYMENTS OF $126.00) TO PARTICIPATE IN
THE HOCKEYTOWN USA, INC. WOMENS ICE HOCKEY LEAGUE.
THIS FEE COVERS THE FALL SESSION OF THE 2012 HOCKEY SEASON. THE LEAGUE
CONSISTS OF APPROXIMATELY 14 GAMES TO BE PLAYED ON SUNDAY MORNINGS FROM JANUARY
8TH TO APRIL 15TH. 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
HOCKEYTOWN
953 BROADWAY
APPLICANT’S
SIGNATURE______________________________DATE__________
FOR OFFICE USE ONLY
RECEIPT
#___________________DATE_________________
AMOUNT
PAID_____________________INITIALS_________
PLEASE PRINT AND SIGN LIABILITY WAIVER HERE