2017 SPRING/SUMMER WOMENS ICE HOCKEY LEAGUE THURSDAY NIGHT APPLICATION

 

 

NAME___________________________________DATE OF BIRTH_______________

 

STREET________________________________CITY___________________________

 

STATE________ZIP____________HOME PHONE____________________________

 

CELL PHONE________________________WORK PHONE____________________

 

E-MAIL________________________________________________________________

 

                                                   PLAYER SKILL LEVEL

                                                            C_____________

                                                             D_____________

 

                                    PLEASE INDICATE PREFERED POSITION

                                                        FORWARD_____________

                                                        DEFENSEMEN__________

                                                        GOALIE________________

                                                           

( 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)

 

THE ABOVE NAMED REGISTRANT HAS AGREED TO PAY $400.00 ( 2 PAYMENTS OF $200.00) TO PARTICIPATE IN THE HOCKEYTOWN USA, INC. WOMENS ICE HOCKEY LEAGUE.

                THIS FEE COVERS THE SPRING/SUMMER SESSION OF THE 2017 HOCKEY SEASON. THE LEAGUE CONSISTS OF APPROXIMATELY 21 GAMES TO BE PLAYED ON THURSDAY NIGHTS FROM APRIL 13th  TO AUGUST 31ST .  GAMES WILL BE PLAYED AT 7:40PMPM AND 8:50PM.  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 PRINT AND SIGN LIABILITY WAIVER HERE

    


 

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