George DiPaolo Memorial

Youth Thanksgiving Tournament

2^nd Annual – 2003 Application

Team Level: PeeWee Division

“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 $390 entry fee made payable to Butler County Youth Hockey (or $100 deposit if before Oct. 15) to: Applications are accepted on a first come/first served basis.

Chris Brittain Miami University Goggin Ice Arena Oxford, OH 45056

(513) 529-3343 brittact@muohio.edu

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