ADULT REC INLINE HOCKEY
SIGN UP FORM

GAMES START AUGUST 1st


NAME_________________________________
PHONE____________________________
ZIP_______
ADDRESS______________________________
CITY______________________________

EMAIL_________________________________
DATE BIRTH_______________________
AGE______

DIVISION
16 + GOLD:__
16 + SILVER:__
16 + BRONZE A:__
16 + BRONZE B:__
28 +:__

PAY BY 7/29
$100
PAY AFTER 7/29
$120
EACH ADDITIONAL LEAGUE
$75
ADULT SKILLS CLINICS
$5 PER SESSION

REGISTER IN PERSON OR MAIL TO:


TOUR ARENA

3325 MEADOW RIDGE DR.
COLORADO SPRINGS, CO 80920

MAKE CHECKS PAYABLE TO SIHA


*EACH PLAYER MUST HAVE A 2009-2010 SIHA MEMBERSHIP CARD - COST $30.00

Copyright © 2010 SIHA Hockey