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Burnaby Minor Hockey Association

Atom Springblast Tournament

March 17th -20th 2018 #haveablast

Tournament Application Form(Choose Division)

  • ATOM $1100 Cheques payable to: BMHA Springblast Tournament

BMHA-Springblast Tournament

P.O BOX 44106, Burnaby BC

V5B 1S2

TEAM NAME
ASSOCIATION
TEAM COLOURS
PERMISSION NUMBER
TEAM MANAGER
ADDRESS:
PHONE:
EMAIL:
HEAD COACH
PHONE NUMBER:
EMAIL:

By signing this application form, the team manger and coaches release Burnaby Minor Hockey Association, all officials, and volunteers associated with the tournament from any liability from injury or accident which may be incurred by any player or team official while traveling to/from and participating in the Tournament.

TEAM MANAGER SIGNATURE DATE

______

HEAD COACH SIGNATURE DATE

This registration form must be returned with a cheque (No post-dated cheques will be accepted) or money order made out to BMHA SPRINGBLAST TOURNAMENT
Please accompany Hockey Canada roster with your entry form. If rosters are not ready, please send in as soon as possible via email.

EmailSpringblastTournament Coordinator with permission number, Team Picture and Logo to
Selections will be made from registration forms received with cheques attached.

Cancellation Policy: There is a 30 Day cancellation deadline prior to the start of the tournament at which time the tournament fee will not be refunded. If the spot is subsequently filled, a $200 penalty will be charged and the remainder of the tournament fee will be reimbursed with in 30days after tournament is completed.

LAST NAME / FIRST NAME / JERSEY #
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HC
AC
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MGR

NOTE: PLEASE LIST PLAYERS ALPHABETICALLY BY LAST NAME. PLEASE PRINT CLEARLY.

ASSOCIATION LETTER OF PERMISSION

DATE______

TEAM NAME ______

DIVISION ______

ASSOCIATION______

PHONE NUMBER______

EMAIL ______

We have reviewed the roster of the above team and advise that the information is correct. We also agree to forward to you, four (4) weeks prior to the start of the tournament, a list of our roster players currently under suspension. This Association is a member in good standing with the CAHA, Hockey USA, or the IIHF, as appropriate. In this regard we hereby grant permission to this team to participate in the Burnaby Minor Atom & Springblast Hockey Tournament being held from March 17th–20th, 2018.

We further agree to abide by all suspensions imposed by the Burnaby Minor Atom & Peewee Springblast Hockey, Pacific Coast Amateur Hockey Association, and the British Columbia Hockey Association as a result of rule infractions incurred during the course of the tournament.

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ASSOCIATION EXECUTIVE SIGNATURE DATE

TITLE/POSITION

*Please note this is to be signed by a member of your association’s executive