APPLICATION FORM 2008

THIS APPLICATION MUST BE COMPLETED IN FULL, SIGNED AND ACCOMPANIED BY PAYMENT

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TEAM NAME                                                                                                                    AGE GROUP

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COACHES NAME

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ADDRESS                                                    CITY                                                             PROVINCE / STATE                                      POSTAL CODE

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TEL. RESIDENCE                                        TEL. WORK                                                FAX NO.                                                        EMAIL

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ASSISTANT'S NAME

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ADDRESS                                                    CITY                                                             PROVINCE / STATE                                     POSTAL CODE

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TEL. RESIDENCE                                        TEL. WORK                                                FAX NO. EMAIL

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MANAGER'S NAME

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ADDRESS                                                    CITY                                                             PROVINCE / STATE                                     POSTAL CODE

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TEL. RESIDENCE                                        TEL. WORK                                                FAX NO.                                                        EMAIL

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It is understood and agreed that the tournament organizers, sponsors, directors, members and officials assume no liability for injuries or other loss of any kind as a result of participating in or traveling to and from this tournament.

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SIGNED BY COACH

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SIGNED BY MANAGER

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DATE

Mail application and cheque payable to Mississauga North Stars: (Please put team name on cheque)
c/o Mississauga North Stars
5-5490 Glen Erin Dr.
Mississauga, Ontario, Canada
L5M 5R4
Phone: (905) 814-1027
Fax:     (905) 814-1027
director@nstarsnovtournament.com
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