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

Team Name :

Coach:

Player No.

First & Last Name

Position

Player Signature

I certify, that this ___ day of_____________200__, that the above listed players have been approved for age and residency, and are an approved roster.

Hockey Centre President _________________________________ Phone No.____________

Note: Only players listed on team roster are eligible to participate. A maximum of 4 coaching staff on the bench, trainer is included.