| Hockey Association: | |||||
|---|---|---|---|---|---|
| Age Classification (Please check) |
__ Mite | __ Squirt | __ PeeWee | __ Bantam | __ Midget |
| Team name: | __ A | __ AA | |||
| Head coach | Assistant coach | Manager | |
|---|---|---|---|
| Name: Address: City: |
____________________ ____________________ |
____________________ ____________________ |
____________________ ____________________ |
| Phone: |
________________-Home ________________-Work _________________ -Fax |
________________-Home ________________-Work _________________ -Fax |
________________-Home ________________-Work _________________ -Fax |
| E-mail: |
| * Level of Play classification as determined by the 2000-01 Rules and Regulations.
Team should identify their level of play based on realistic expectations. BTHL reserves the right to
re-classify teams and/or refuse to admit teams. The goal of league play is to provide the opportunity for all
teams to be competitive within their classification. If requesting placement in the "A" level of play, a player
roster including birth dates and past level of play must accompany this registration. As identified in the Rules &
Regulations, the team roster must be approved and on file with BTHL before League play.
By signing this application form, the team contact person, on behalf of his/her team, releases the sponsors, organizers, officials, and volunteers of the Buckeye Travel Hockey League (BTHL) from any liability, injury or accident which may be incurred by any player, team official or spectator while participating in or traveling to or from League games and/or other League sponsored events. Teams further agree to comply with all BTHL Rules and Regulations including the participation in an end-of-season tournament. |
|
Signed: |
Date: |
| Payment: | Team Fee $425 | (postmarked by September 1, 2001)** |
|---|---|---|
| Includes $125 registration fee and $300 partial payment for end-of-season play-offs | ||
| Late Fee $475 | (MUST BE RECEIVED by September 8, 2001)*** | |
| Note that this deadline is NOT a "postmark" deadline, the application must be in our hands. | ||
|
Please return this and Roster to: (Make check payable to "Buckeye Travel Hockey League") |
Buckeye Travel Hockey League c/o Len Holtgreven 1707 Cherry Ln. Findlay, OH 45840 |
IMPORTANT: For Association's mailing one check; please complete a form for each team. |
|---|
For additional information concerning teams and levels of play, contact
Arthur Burghes @ 614/262-4209-Home or 614/688-4759-Work or burghes.1@osu.edu