Tournament Registration

PICKERING OLDTIMERS HOCKEY LEAGUE
CHARITY TOURNAMENT

You can also print this page off and fax it to 905-509-5640

TEAM REGISTRATION FORM

Team Name: ___________________________________________________________________
Team Colour(s): ___________________________________________________________________

Requested Division by Age: ____________ Level: ____________ (A/B/C/D)

Please complete the following information to assist us in properly seeding your team into the best possible level for your age group (if applicable):

How many tournaments did you play in: 2006 ______ 2007 ______ 2008 ______
What divisions were you in by level: 2006 ______ 2007 ______ 2008 ______

Please list the teams you have played in past tournaments and the scores:

   Your team score:__________________________________________________________________
   Opponent Name:__________________________________________________________________
   Opponent Score:__________________________________________________________________

All attempts will be made to make sure all teams are competitive with each other.

Please list any additional information you can that may help assist us in the seeding of your team:

________________________________________________________________________________

________________________________________________________________________________
________________________________________________________________________________

Please complete this form and include your deposit of $300.00 and your post-dated cheque for the balance of $375.00 before March 17, 2012. Cheques payable to: P.O.H.L.

Thank you.

Please mail to:

Team Entry Form

PICKERING OLDTIMERS HOCKEY LEAGUE
CHARITY TOURNAMENT

Team Name:       _______________________________________________________________________
Team Rep Name:_                                                   _    Team Rep Name:_                                                _ _
Address:             _                                         _    Address:            __
Phone:    _                                                    _    Phone:    _                                                    _
Email: _                                                   _    Email: _                                                    _

Players Name Age Sweater Number Position

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