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ALUMNI TOURNAMENT REGISTRATION

FORM - 2008

 

 

NAME:

 

ADDRESS:

 

 

PHONE NUMBER:

 

EMAIL:

 

YEAR OF GRADUATION:

 

DO YOU PLAN ON PLAYING OR WOULD YOU LIKE TO BE LISTED ON OUR “HONORARY PLAYER” BOARD FOR THE TOURNAMENT AND DONATE A MINIMUM OF $10 TO THE SUCCESS OF THE DAY?

 

                   PLAY                   OR              “HONORARY PLAYER”

 

ARE YOU A GOALIE?            YES    –    NO

 

DO YOU WANT TO PLAY COMPETITIVE HOCKEY OR DO YOU WANT TO JUST PLAY ONE GAME AS AN “OLDIE”?

 

                   COMPETITIVE          OR          “OLDIE”

 

 

RELEASE OF RESPONSIBILITY:

 

I RELEASE THE CUMBERLAND YOUTH HOCKEY ASSOCIATION [ALL MEMBERS, ALL WORKERS, ALL EMPLOYEES, THE BOARD OF DIRECTORS, THE TOURNAMENT COMMITTEE] FROM ALL RESPONSIBILITY IN THE EVENT OF ANY INJURY OR DAMAGE, PERSONAL OR PROPERTY, DONE DURING THE ALUMNI TOURNAMENT OF

MARCH 14-15, 2008.

 

SIGNATURE:_________________________________________________

 

Text Box: PAID:  __________________

 

DATE:______________________                                    

 

 

 

 

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Last modified: 2008-10-28 18:28 -0600