2008 Summer Adult 4 on 4 Hockey League Team Representative Form
Please print this page, fill out necessary information and send to: ICE Arena, 5165 E. Remus Rd., Mt. Pleasant, MI 48858
Team Representative Name:
Address:
City: State: Zip:
Home Phone:( ) Work Phone:( )
Email:
Date of Birth:
Team Name:
Protected Player List: Team Representative may protect one skater and one goalie (plus team rep) for a total of 3 players. The remaining team members will be drafted through the general player pool at the rate skate.
Player 1 (Team Rep):
Player 2:
Player 3 (Goalie):
Must be a Goalie. If you don't have a goalie leave this blank. You cannot protect an extra skater in this place.