Sportsplex Roller Hockey
	SubZero Cup Christmas Tournament
	Tournament Registration Form
	***PLEASE PRINT IN BLOCK LETTERS***

 

Team Name:	.	Division:
.
Team Manager:	.
Mailing Address:	.
City/Province/Postal Code	.
Home Phone Number:	( _____)	.
Work Phone Number:	(______)	.
Fax Number:	(______)	.
Head Coach:	.
Home Phone Number:	(______)	.
Work Phone Number:	(______)	.
Fax Number:	(______)	.

Team Manager:         Please list all Participating Players and Team Officials on the Roster Form.  The Minimum Number of Players for this Tournament is six (6).
The Registration Form and Team Roster must be returned with a certified cheque or money order payable to “Sportsplex” in the Amount of $400.00
NOTE: All players MUST be NIHA or USA Hockey Inline Members. NIHA Weekend Warrior Insurance is available at the tournament for $10/player.
By Signing this Registration Form, the Team Manager and Coaches releases Sportsplex Management Ltd, the Sportsplex and all the officials-volunteers associated with the Tournament from any Liability for any injury or accident which may be incurred by any player or team official while travelling to, from, or while at the Tournament.
Signature of Team Manager:_________________________   Date:_________________________
Signature of Team Coach:___________________________   Team Name:___________________
Mail to:     Sportsplex	FAX:       604-882-1609
100 - 20165 - 91A Avenue, Langley, BC V1M 3A2	Questions? Call 604-882-1611 ext.703