2010 Registration:

Payment must be mailed to:
Patti Currie
60 Barrymore Road,
Scarborough Ontario
M1J 1W3
By March 1st

PLAYER INFORMATION
Name:
Address:
City:
Postal Code:
Birth Date (dd/mm/yyyy):
Home Phone#:
Cell#:
Email Address:
Emergency Contact Name:
Emergency Contact#:
LEAGUE INFORMATION
League Information	Competitive (Wednesday - Malton) East House League (Monday - Scarborough) West House League (Thursday - Malton) Register in 2 Divisions (Comp & House League)
Have you ever played ball hockey?	yes no
If yes, which level:	Competitive House League Gym Streethockey
Have you ever played ice hockey?	yes no
If yes, which level:	AAA AA A Select House League
You wish to register as a:	Player Goalie
If goalie, what experience do you have?
Do you have friend(s) and/or relative(s) you wish to play with? If yes, please list:
Do you wish to assist? If so, please check your preference.	Sponsor Division Convenor Timekeeper
Registration Fee: $150.00	Competitive East House League West House League
Registration in 2 leagues: $285.00	Register in two leagues(indicate which two divisions in the above question).1 Competitive & 1 House League or 2 House Leagues.
Sponsorship Plan	Sponsorship $350.00. Sponsor a team and you can play for FREE! (NOt available with double registration plan)
Following the Championship game I would enjoy ...	Pizza Party? Sit down Banquet (date to T.B.D.)

Payment must be mailed to:
Patti Currie
60 Barrymore Road,
Scarborough Ontario
M1J 1W3
By March 1st