Registration


	3rd Annual Murray Sutherland Memorial Pond Hockey Tournament


	4 on 4 Format 5 Players with Substitutions Mens,Mixed & Ladies Teams. Single Players Welcome...We will Find You A Team No Divisions 18 Years and Over

Online Registration Form
Please Provide the names,dates of birth and contact information of each team member. After you submit the completed form click on the word continue that will appear at the top of the page you are taken to and you will be returned to our site.
You may print this form and mail it instead if you wish to the Address below.
Registration is $375 if registered and paid by Jan 15 2010
$450 after Jan 15 2010

After registering you may use the Pay with Paypal link on the menu at the left

Or Send a cheque for $375 to
Clairmont Arena Foundation c/o
8910-108st
Grande Prairie,Alberta
T8V 7C8
Phone 780-814-0225

Lamont Anderson
Chairperson
Clairmont Save The Arena Committee

Team Name
Team Contact
Corporate Sponsor (if any)
Street Address
Mailing Address
City/Town
Province
Postal Code
Country
Work Phone
Home Phone
Fax
Email Address:
URL
Player 1
Date of Birth
Telephone
Player 2
Date of Birth
Telephone
Player 3
Date of Birth
Telephone
Player 4
Date of Birth
Telephone
Player 5
Date of Birth
Telephone

form mail


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