2015 Adult Women’s “Kick Off”
Hockey Tournament
Dover Ice Arena
B, C and D Level and House level Divisions
3 Games plus championships
September 19, 20 , 2015
Instructions:
Select level of play: B; C; D or similar designation – there may also be upper and lower levels in
each division based on entries.
Select level of play (no level 1 teams or “A” level teams will participate in this tournament)
Indicate level of play within your league or based against other teams
Submit one registration form per team with payment of $ 700 for each team. If multiple teams are
entered for an organization, you can submit one check for all teams. A non refundable deposit of
$100 is required prior to September 1, 2015 to participate, or full payment.
Enter Association Name or league affiliation if any - print clearly
Enter Signature of representative and contact information (phone and e mail)
Association name (if any) and team name _________________________________
Playing Bracket ( level you usually play for tournaments) ________________
Level of Play: Organization level __________ Playing level ___________
Team Representative ____________________________________________
Team Contact Information: Phone _____________ Email _____________________
Representative Signature _______________________________
You will be financially responsible for the tournament cost on a team basis. The fee for this tournament is
$ 700 per team to participate in this tournament. Any association withdrawing a team(s) after the
tournament Director has made ice arrangements for the tournament must still pay for the team(s) fees for this
tournament. All ice arrangements will be completed by September 1, 2015. Team withdrawals prior to
September 1, 2015 will be required to pay a $100 administrative fee for all teams withdrawing from this
tournament.
Registrations are limited – sign up as early as possible.
If you are paying a non refundable deposit you can submit $100 with registration form,
however, the balance must be paid prior to your first game.
Return with payment of $ 700 to:
Dover Ice Arena
Attn: Women’s Kick Off Tournament
110 Portland Avenue
Dover, New Hampshire 03820
Contact: Tournament Director: Ray Pasquale 603-516-6060 [email protected]