APPLICATION FORM
FOR THE
12th ANNUAL TIM
HORTONS CHRISTMAS
HOUSELEAGUE
HOCKEY TOURNAMENT
December 28- 30,
2012
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Team Name and Sponsor:
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League and Division:
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Sweater Colour (e.g. Black
with Gold Trim):
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Tournament
Division:
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Novice
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Atom
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Pee Wee
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Bantam
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Team Contact:
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Name:
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Position:
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Address:
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City:
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Province:
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Postal Code:
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Phone: (B)
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(H)
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Cell:
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Email Address:
(Print
clearly)
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Cheque Enclosed
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$
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Make cheques payable to the Sarnia Hockey Association
(post-dated no later than November 26th, 2012 and forward cheque,
application form, and Team Roster to:
Tim
Turner
965
Hagle St
Sarnia,
Ontario
N77
4A9
Phone: 519-541-0657
e-mail:
[email protected]
Final tournament information will be available via email early in
December 2012
Tim Hortons Christmas Tournament
Team Roster
(Please print clearly)
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Team Name:
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Town/City:
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Division:
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PLAYERS NAME
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BIRTH DATE
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Sweater #
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Day
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Month
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Year
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1.
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2.
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3.
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4.
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5.
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6.
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7.
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8.
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9.
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10.
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11.
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12.
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13.
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14.
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15.
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16.
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17.
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Manager:
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Asst. Coach:
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Coach:
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Trainer:
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Coach
Certification #
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Trainer
Certification #
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Please complete Team Roster in full and please print
clearly or it will not be accepted
P.S. Please bring at least
three (3) previous game sheets with you to the tournament and certified team
roster.