House League Tournament Registration Form

Official Tournament Registration Form

* Indicates required field

Team Name (as will appear on schedule) *

Contact Name *

First

Last

Contact Email *

Phone Number *

Level/Division *

Coach Name *

First

Last

Coach Email *

Primary Jersey Colour *

Where are the majority of your players from (City/Town & Level) *

Will your team be staying in a hotel during the tournament? If yes, where? *

Method of Payment *

E-transfer Cheque via mail (payable to Marc Andre Ranger Enterprises) Other

E-transfers to be sent to [email protected]
Mail cheques payable to Marc Andre Ranger Enterprises to
Marc Andre Ranger Enterprises
c/o Marc Andre Ranger
1967 Montmere Avenue
Orleans, ON
K4A 0E3

Additional Notes or Comments *

By signing/submitting the entry form, the team manager, coach or undersign individual on behalf of the team, parents players release Casselman Pirates organizers, employees, its officials, arena managements and all parties concern with the events of any liability, injury or accident that may occurred by any players, coach, parents participating in or traveling to and from this event. The Team Manager or Coach also acknowledge that the tournament does not provide injury insurance to teams participating in the event. Teams are responsible to acquire their own injury insurance.
En apposant sa signature, le gerant, entraineur ou la personne signant le document degage les organisateurs, les commanditaires, ses officiels,la direction et le personel de l'arena et toute autres personnes affectees au tournoi, de toutes responsabilites en cas de blessure ou accident des participants, personel d'entraineurs ou parents durant le voyage d'arrive ou retour ainsi que pendant le tournoi.Les Pirates de Casselman n inclue pas une assurance accident avec l inscription de l`équipe a leurs tournois. Les équipes sont responsable d aquérir leurs assurances accident afin de participer au tournoi.

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