Application for a Baltimore Ice Dog Hockey Tournament (Administration Details)
P.O. Box 195 Baltimore ON. Canada   K0K 1C0

Tournament Name:

Team Name:

League Name:

Division:

Shirt Colours:

Coach:

____________________________________

Phone:_______________

Address:

____________________________________

E-Mail:_______________

Coach Card No.

____________________________________

Manager:

____________________________________

Phone:_______________

Address:

____________________________________

E-Mail:_______________

Fax:

____________________________________

Asst. Coach:

____________________________________

Phone:_______________

Address:

____________________________________

Trainer:

____________________________________

Phone:_______________

Address:

____________________________________

Trainer Card No.

____________________________________

The Coach or Manager on behalf of his/her team releases the Sponsors of the Tournament, its officials, Arena Management and all involved in the Tournament form liability. For any injury or accident, stolen or lost articles. Which any member of your participating in traveling to/from may incur from said Tournament. And accepts all decisions of the Tournament Committee as final.

Coach/Manager
Signature: ________________________________

Date:______________

Go to Tourney Player Detail Form (Part 2)

Go to Tournament Main Page