2008 TEAM REGISTRATION FORM

Please complete the registration form below

For information about what is included Click Here

For Individual Registration please Click Here

Questions or Concerns? Please call (902) 431 7713

TEAM Information

TEAM NAME

desired division

Division 1 - Elite Division 2 - Advanced Division 3 - Average

OVERALL HOCKEY SKILL LEVEL

AAA   AA   A   House League

LEAGUE

MEN'S   WOMEN's

TEAM CAPTAIN INFORMATION

FIRST NAME

LAST NAME

HOME ADDRESS

APT

CITY

PROV

POSTAL CODE

HOME PHONE

WORK PHONE

ext 

EMAIL

DATE OF BIRTH

JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC / 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / 19

Payment

$1800   If paid in full on or before first regular season game

$2000   If paid in full on or before third regular season game

Returning teams who register prior to April 1 and provide their own Halifax Inline jerseys save $100 off of team registration. Discount will be provided at first regular season game. Please contact Halifax Inline to notify us if you wish to use your own jerseys. FAILURE TO NOTIFY WILL RESULT IN NO DISCOUNT.

  Cash AT ARENA

  Cheque  Mailing Address

Additional Information

COMMENTS

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For further information please call (902) 431 7713