Hollydell Ice Arena
John Payne Tournament
February 22, 23, 24, 2008

Book Early! Call 856-589-5599
Please submit one application per team!

Tournament Fee: $695.00 
  $200.00 Deposit Required to reserve a Tournament Spot!

Team Name ___________________________
Team Color - Home_____________________     Away_________________________________

Division (Please circle one)

 Middle School:      A       B       C         

 Junior Varsity       A       B       C        
Head Coach _____________________________ Home Phone _______________________
Work Phone _____________________________ Email _____________________________
Address ____________________________________________________________________
City ____________________________  State/Province ____________ Postal Code_______
 
Manager ________________________________ Home Phone _______________________
Work Phone _____________________________ Email _____________________________
Address ____________________________________________________________________
City ____________________________  State/Province ___________ Postal Code________
 

Credit Card Payments Accepted
 Fill out form and fax to 856-582-2460

Credit Card Information
Card Type (Visa or Mastercard Only) _______________  Expiration Date ____________
Card Number ______________________________________________________________
Name (Please write as it appears on card) _______________________________________
Address  ___________________________________________________________________
Cardholders Signature _______________________________________________________
Payment Amount ___________________________________________________________

 

Please make all checks payable to: Hollydell Ice Arena

Print and mail completed registration form to:

John Payne Tournament 2008
c/o Hollydell Ice Arena
PO Box 472  Sewell, NJ 08080
Attention Guy Gaudreau or Jim McVey
 By signing this application the team manager or head coach, on behalf of the team, releases the Tournament, it's officials,  arena management and all concerned with the event, from any liability for   any injury or accident which may be incurred by any player or team official while participating in or while to or from this event.

 Team Official (Signature) X____________________________________________________

 Print Name ___________________________________ Date ______________

 * Signature Required