Buckeye Travel Hockey League

2000 - 2001 Play-offs

Team Registration

Complete this registration and return, with a copy of your stamped USA Hockey Roster and the appropriate fee by February 10, 2001. Make check payable to BTHL. Indicate on your check the team name and level.

Complete and return for each team.

TEAM NAME:

LOCAL ORGANIZATION:

TEAM CONTACT:

CONTACT’S ADDRESS:

CITY: STATE: ZIP CODE:

PHONE: ( ) FAX: ( )

LEVEL: MITE $275 SQUIRT A $300

SQUIRT AA $300 PEE WEE A $300

PEE WEE AA $300 BANTAM A $325

BANTAM AA $325 MIDGET A $375

MIDGET AA $375

Send Registration and payment to:

BTHL

834 Park Ave.

Miamisburg, OH 45342

All teams will be required to sign-in prior to the first game. No team will be permitted to play until a certified Roster is on-file with the Play-Off Officials. Any player not on the Team Roster will not be permitted to play.

The BTHL is using certified USA Hockey referees and will ensure that the facilities used in these play-offs are safe to play in. As a representative of your team you realize the inherent danger with the sport of hockey and accept responsibility for the conduct of your team. By signing and submitting this registration form, you relieve the Buckeye Hockey Travel League of any liability as a result of any player injury.

Team Contact: Date:

Position with team: E-Mail: