6th Annual
Clearwater Girls’ Hockey Jamboree
November 19th & 20th, 2011
 
Registration Form
 
 - All girls welcome, from ages 5 to 16 (two divisions if numbers allow)

- Entry is on a first-come, first-served basis, limited to 120 players
  (there is no cutoff date, but we will post on this web-site when we reach this limit)

- Fees (includes jersey, prizes and banquet lunch) - Player $50.00, Goalie $25
  Note: If you are a goalie, please bring your own pads & equipment!

- Bring a new entrant and receive $10 off each registration fee!

- Please complete and mail with a cheque for your entry fee
  made payable to Clearwater & District MHA
 

CDMHA – Girls’ Jamboree

POBox 354, Clearwater, BC, V0E 1N0

 For more information, please contact Christine Parsons at parsonsjctelus.net,
or phone 250-674-2095

 

Name:
 
Date of Birth
(dd-mm-yy):
 
Hockey Canada Player Id#:
 
Care Card Id#:
 
Any medical alerts:
 
Association:
 
Address: Address 1
Address 2
City
Postal Code

Province

 
Phone:
 
eMail:
 
Jersey Sizes: 
Youth S/M   Youth L/XL 
Senior S     Senior M    
Senior L      Senior XL