Sherwood Ice Arena Adult Hockey Reg form

2007 Fall/Winter ADULT HOCKEY LEAGUES
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REGISTRATION FORM

Name:______________________________? ?? D.O.B:__________?

SS#:_____________ E-mail:____________________

Address:________________________________?

City, State, Zip:______________________________

Work Ph:___________________

Home Ph:___________________

Team Name:______________or

Individual? E-Mail__________________________

Level: (circle one)

	Gold	Silver AA
	Bronze	Silver A
	Over 35	Silver B
		Silver C

Position:___________ Jersey #:______

For Official Use Only

Date:____________Amt. Recieved __________ Cash Chk#________

CC Type ________ Level: Gld___SiAA___SiA___SiB___SiC___Bnz___O35___ Team:_______________