2008 Summer Adult 4 on 4 Hockey League Registration Form
Please print this page, fill out all information and send to:  
ICE Arena, 5165 E. Remus Rd., Mt. Pleasant, MI 48858
Player Name:                                                                                

Address:                                                                                                

City:                                          State:                  Zip:                                

Phone:(        )                                   

Email:                                                            Date of Birth:                                 
 

Are you on a protected list?                YES                NO

If yes, which team?                                                                        

Position:               Forward                        Goalie

Skill Rating:        1                2                3                4                5
              Lowest                                                            Highest

Are you a team representative?        YES        NO        
If yes, please submit team representative information form.
Payment Information        Amount Enclosed:                        












All Players MUST PAY IN FULL at time of Registration


USA Hockey Registration can be processed at :
www.usahockey.com for $35
A copy of USA Hockey registration must accompany this form.
If you played in the Fall/Winter League you do NOT need to re-register with
USA Hockey.

Refund Policy: Prior to 1st game: 1/2 of collected fees
 After 1st game: Permitted only for extreme circumstances

Please make all checks payable to "Smooth Surfaces"

Credit Card Information:
Circle One:        Visa        MasterCard        Discover

Card No:                                                          Exp.                                

Signature:                                                  

REGISTRATION DEADLINE:  July 30, 2008

Rate Skate:  Wednesday July 30, 2008 @ 7:30pm
FEES:
Full Payment
Player
$120.00
Goalie
 $80.00
 
 
USA Hockey Registration (required)
*** The I.C.E. Arena can NO LONGER process for
players.  To register, go to www.usahockey.com
Must register at
www.usahockey.com
Want to Put Your Own Team Together?? Click
HERE for Team Rep. Form