2004 Christmas Tournament – Registration Form  
DATE: December 26-30, 2004  --- DEADLINE for Registration: December 19, 2004               (FAX) 860-652-8276

Team Name                                                                                                         Team Color  ______________________

Team Contact/Coach                                                                                         Contact Phone  ____________________


Cost:  $250 per team (submit with Registration to secure spot)

One Day Tournament.  Minimum three games, two 15 minute halves, (roster limit is 14 players).

Times determined by entries. 

 

               

Youth Divisions

o   10U 12:00-5:00 Wednesday December 29

o   12U 5:00-10:00 Wednesday December 29

o   14U 5:00-10:00 Tuesday December 28

o   16U 5:00-10:00 Monday December 27

Adult Divisions

o   C/D 12:00-5:00 Sunday December 26

o   A/B 5:00-11:00 Sunday December 26

o    Ball 7:00-11:00 Thursday December 30

 

Terms & Conditions

The participants and parents/guardians of participant (if participant is under 18 years of age) pledge and agree to the following:

1.       I have read and signed the “Participant Release of Liability” form and agree to the terms as stated.

2.       I agree to follow all rules as stated in the Z-Rink Rules.

3.       I will provide all required equipment upon entry into the rink.  Required equipment includes: helmet with face cage (if participant is under 18 years of age), hockey gloves, elbow pads, cup, and shin guards.  No black equipment is to touch the Sport Court rink surface (i.e. black wheels, black sole shoes, black tape, exposed black shin guards, or black elbow pads).  Participant will be held responsible for the cost of cleanup and/or repair of flooring due to inappropriate equipment.

4.       I acknowledge that in the event the above participant engages in inappropriate behavior, Z-Rink reserves the right to take the disciplinary action it deems proper up and to expulsion from all Z-Rink events without refund of any fees paid.

Team Roster

1                                                                          ______________    5__________________________________________

2                                                                          __                               6                      __                 ______________________

3                                                                          __                               7                      __                 ______________________

4                                                                          __                               8                      _  _                ______________________

_Goalie                                                              __                               9                      __                 ______________________

Payment Method

q  Cash        q  Credit Card         q  Check #                                       Date                              

Total Amount Due           $   250.00                                    Total Payment   $                                            Rec’d By                                 

Date Due Payment Due    12/19/04