*To enter your team in a tournament, please send us 1)This completed registration form 2)A completed roster 3)A deposit

Select a tournament(PLEASE CHECK ONE):   

                                                                                      *

Select your team's division (PLEASE CHECK ONE):

                                                                                      *

Select your team's classification (PLEASE CHECK ONE):

                                                                                      *

Select your team's birthyears (PLEASE FILL IN BIRTHYEAR(S) AND # players born that year):

                                                                                      *

What is the name of your hometown league?_____________________________________________

What is the name of your hometown division or tier?_____________________________________

Is there a webpage we can refer to?______________________________________________________

                                                                                      *

Team Name:_________________________________________________________________________

Contact Name:_____________________________      Address:  _________________________________

Address 2:  City: State/Prov:_________________________________________________Zip:  _________

Home Phone#:___________________________    Cell Phone#:_________________________________   

E-Mail Address:______________________________________________________________________

Head Coach: _______________________________________________________________________     

Home Phone#: _____________________________  E-Mail Address:_____________________________

ENTRY FEE:__________

Please have certified checks or money orders payable in U.S. funds only to: NIAGARA UNIVERSITY ICE COMPLEX

A $300 deposit is due with the application - it is non refundable balance due 30 days prior to the tournament

THE MAILING ADDRESS is: Larry Brzeczkowski

                                                                          Niagara University Ice Complex

                                                                     Niagara University, NY 14109