2017-2018 > Pat Larock Memorial Tournament > Pat Larock Memorial Tournament - 2017 Registration (Peterborough Minor Petes)

Pat Larock Memorial Tournament - 2017 Registration

Thank you for registering for the Pat Larock Memorial Tournament. All teams applying for this tournament MUST: 1-Complete and submit this online form. 2-Pay registration fee by e-Transfer or cheque in the amount of $1425.00 CAD 3-Make payable to: Pat Larock Memorial Tournament 4-e-transfer payments can be emailed to [email protected] OR mail cheques to: Len Warriner, 760 Brown St. Peterborough, Ontario, K9J 4K8, Canada. Accepted teams will be contacted and at that point are required to submit roster and travel or permission permit. If You have any questions, please contact me: Frank Curran PMHC Tournament Chairman Email: [email protected]

Branch / League^*

Required

i.e. OMHA, Alliance

Association Name^*

Required

i.e. Minor Petes

Team Name^*

Required

i.e. Peterborough Minor Petes

Division^*

Required

i.e. Novice / Minor Atom / Atom

Manager Name^*

Required

Manager Address: Street^*

Required

i.e. 91 Wallis Dr.

Manager Address: City^*

Required

i.e. Peterborough

Manager Address: Province / State^*

Required

i.e. Ontario, New York

Manager Address: Postal / ZIP Code^*

Required

i.e. K9J 6C2 / 98275

Manager Cell Number^*

Required

Example: ### ### ####

Manager Home Number^*

Required

Example: ### ### ####

Manager Email^*

Required

[email protected]. Your submission will be sent to this address.

Coach Name^*

Required

Coach Address: Street^*

Required

91 Wallis Dr.

Coach Address: City^*

Required

i.e. Peterborough

Coach Address: Province / State^*

Required

i.e. Ontario / New York

Coach Address: Postal / ZIP Code^*

Required

i.e. K9J 6C2 / 98275

Coach Cell Number^*

Required

Example: ### ### ####

Coach Home Number^*

Required

Example: ### ### ####

Coach Email^*

Required

Example: [email protected]. Your submission will be set to this address

Additional Team Information

How did you hear about our tournament?

Thank you for your interest in our tournament and we will be in touch shortly.

Completion of this online registration form and submitting payment does not confirm your acceptance to our tournament.

You will be notified once the tournament committee confirms your acceptance.

I agree to the terms and conditions stated above^*

Pat Larock Memorial Tournament - 2017 Registration, Pat Larock Memorial Tournament, 2017-2018 (Peterborough Minor Petes)

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