George DiPaolo

Memorial Youth

Thanksgiving

Tournament

1^st Annual – 2002 Application

Team Level: (circle) Mite Squirt PeeWee Bantam

“A” Level Teams or explain special circumstances:

TEAM INFORMATION

Team Name/Association:

League Played In

Contact Person:

Address

City State Zip

Office Phone Home Phone Cell Phone

E-mail address

Jersey Primary Color Do you have 2 sets (home/away) of jerseys? Yes No

OTHER IMPORTANT INFO

Name Phone Number e-mail

Coach

Manager

Association President

Return application with $360 entry fee (or $100 deposit if before Oct. 15) to:

Chris Brittain

Miami University (513) 529-3343

Goggin Ice Arena brittact@muohio.edu

G:Users:TWT:GeorgeDiPaolo application Oxford, OH 45056