Jim Wilson Chevrolet Buick GMC Winter Classic Registration Form (Orillia Minor Hockey Association)
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Jim Wilson Chevrolet Buick GMC Winter Classic Registration Form
Please complete the registration form, make a copy and submit with payment to: Orillia Minor Hockey, P.O. Box 731, Orillia, ON L3V 6K7. Confirmation of acceptance will not be provided until payment is received. Cheque to Orillia Minor Hockey Association or e-transfer to
[email protected]
$1250.00 U10 to U15 $1325.00 U16 to U18 Sanction #10822
Team Information
Please make sure that all information is filled out completely.
Team Name:
*
Division:
*
(e.g. U12)
Level
*
(e.g. U11, U13, U18)
Home Jersey Colour:
*
Away Jersey Colour:
*
Contact Information
Please make sure that the email submitted is the primary contact for the team for the Tournament.
Name:
*
Please Print
Address:
*
Full Address including postal code
Phone #:
*
Cell #:
*
(Please provide at least one cell number for the team)
Email Address
*
IMPORTANT - all correspondence will be through email
Team Officials
Only the bench staff that are on your approved roster are eligible to be on the bench.
Coach:
*
Trainer:
*
Manager:
*
Asst Coach or Asst Trainer
*
Human Validation
Check The Box
*
Human Validation Failed, Please Try Again
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Printed from orilliahockey.com on Tuesday, July 5, 2022 at 9:28 PM
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