Baltimore Ice Dogs Minor Hockey Association
Player Registration Summary (Part 2) for 2007-08

Family name(s):

________________________________________

Number of children:

__________

Mite

2002-2003

$275 x __________ =

$ __________

Tyke

2000-2001

$275 x __________ =

$ __________

Novice

    1999

$310 x __________ =

$ __________

Atom

1997-1998

$310 x __________ =

$ __________

Pee Wee

1995-1996

$310 x __________ =

$ __________

Bantam

1993-1994

$345 x __________ =

$ __________

Midget

1990-1992

$345 x __________ =

$ __________

Juvenile

1988-1989

$345 x __________ =

$ __________

Fundraising Fee:  - 1 Player=$50 OR 2+ Players=$100  (Refundable - Keep sold ticket monies and hand in stubs.) 

$ __________

Volunteer Hrs Fee:  - 1 Player=$55=9hrs  OR 2 Players=$70=11hrs  OR 3 Players=$90 =13hrs 100  (Refundable within 30 days of hrs being completed.)                         ALSO CIRCLE ONE AREA OF INTEREST -  CANTEEN / BINGO / COACH / NOT INTERESTED 

$ __________

Sub Total Owing

Late Fee $25 (if registering after September 1)

$ __________

$ __________

GRAND TOTAL

$ ========

NOTES:

1) Cheques: Total Owing Cheque must be  made payable to B.M.H.A. and dated September 1.  

2) Fundraising tickets:  Given out to teams after October 15. 

3) Refund Policy:  Pro-rated refund can be requested until November 1 (Mite extended to December 15).  In all cases, a non-refundable $25 fee will be withheld if refund is requested. 

Signature of Parent/Guardian: _____________________

B.M.H.A. Rep Initial:  _______________________          Date Received:  _________________________________

Please remember Player Registration Form Part 1.