INDIVIDUALS ONLY
WE WILL PLACE YOU ON A TEAM
Everyone must attend the evaluation to
ensure teams are equal. Evaluation
dates to be determined.
$120.00 (Includes Jersey)
*SUMMER SEASON*
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10 games
Playoffs & Championship
Season runs July thru Sept.
Equal playing time amongst all
players
 Line Changes every 2 minutes
Individual entry
Return registration from and payment
in full (non-refundable)
Space is limited
All players must purchase MSA
Insurance. Cost is $20.00 per year.
Insurance is valid from January to
January.
Application Deadline June 22th, 2014
*REQUIRED EQUIPMENT*
Helmet with full face cage (No
Mylec Helmets allowed)
Helmet must have HECC
Certification sticker
Shin guards, elbow pads, gloves,
mouthpiece, supporter with cup.
Inline skates without brakes,
including goalies.
REGISTRATION FORM
AGE DETERMINED AS OF JANUARY 2014
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9U plays Wednesdays
13U plays Mondays/Tuesdays
17U plays Wednesdays/Tuesdays
Player’s Name______________________________
Address___________________________________
City__________________________State________
Zip________ Age _______DOB________________
Home #________________________
FIRST TIME PLAYERS
(Up to 8 years old)
$289 SPECIAL
Deadline June 15th
Includes helmet, skates, gloves,
stick, elbow & shin pads.
Size restrictions apply.
Up to size 4 skates *Upgrades at add’l cost.
*LEAGUE RULES*
Years played______ Goalie: Yes Or No
Parent Interested in Coaching: Yes or No
Parent/Guardian Info
Name:__________________________________
Cell#____________________________________
Email:___________________________________
*Most commumication done by Email!
Payment
 IDS Speed puck played on Sport
Court ATAC Floor
 All divisions require one adult coach
 League plays 4 vs 4 plus a goalie
 League is non-check
 2-20 minute running periods.
We reserve the right to change team rosters
as needed. We reserve the right to change
the schedule during the season as needed.
We do our best to accommodate everyone,
but can’t guarantee league play on a
specific night.
ONLINE REGITRATION IS ALSO
AVAILABLE!!
www.marplesportsarena.com
Credit Card
Check
Cash
Name_____________________________________
th
Application Deadline June 22 , 2014
Remit Payment to:
MARPLE SPORTS ARENA
611 SOUTH PARKWAY BLVD.
BROOMALL, PA 19008
Located in the Lawrence Park Industrial Center
610-338-0111 ext 3 Fax: 610-541-0621
E-mail: [email protected]
Card #____________________________________
Exp________CVC________Amt Paid $_________
ABSOLUTELY
NO REFUNDS/ARENA CREDIT ONLY
In an effort to keep teams in the league balanced
and competitive, Players may request to be on the
same team with one player only. Write name here
**MSA reserves the right to deny request
as needed to make sure team is balanced.