2018 World Pond Hockey Championship
February 8 - 11, 2018
Team Application / Registration Form
2018 Team Name: ____________________________________________________________________
2018 Team Members:
(5th player optional)
1._____________________
3. ____________________
2. _____________________
4. _____________________ .5*. ____________________
Reminder: All players must be 19 years of age or older by Day 1 of the Tournament
TEAM CONTACT INFORMATION: (ALL INFORMATION REQUIRED PLEASE)
CONTACT PERSON:
____________________________________________________
MAILING ADDRESS:
____________________________________________________________________________
PHONE: _____________________ EMAIL : __________________________________________________
CREDIT CARD: _________ CARD # __________________________________________ exp: ________
Card number only required at conclusion of team lottery and team is confirmed as a participant. All registration forms
must be submitted completely filled out to be considered.
$200 deposit required by July 14, 2017
Interesting Team Facts:
__________________________________________________________________________________________________
_________________________________________________________________________________________________
Important:
PLEASE EMAIL / MAIL OR FAX YOUR COMPLETED FORM TO:
World Pond Hockey Championship Inc.
159 Main Street, Plaster Rock, NB, E7G 2H2
[email protected]
FAX : 506-356-6081
The Tournament team entry fee is $ 700.00 (Canadian dollars) per team.
If Full Payment is paid prior to November 15, 2017 team fee reduced to $650.00
ALL CREDIT CARD PAYMENTS CAN CALL 506-356-7242 FOR ADDED SECURITY
All teams will be required to make a minimum of$200 deposit when selected in the lottery. You will have
until July 22, 2016 to pay this deposit. If no deposit is received, another team will be invited to fill that team
spot. Balance of payment is required by no later than November 15, 2017. In the event of team cancellations
75% of the fee will be refunded up until 30 days prior to the event. Cancellations inside of 30 days will not be
refunded unless compassionate rationale applies. This will be a Board decision.