Fill out and return to address on the bottom of form Division:   Accommodation:   yes no Tier:   Gender:  male female Coach's name:   Second Contact:   Address:   Address:  Postal Code:  Postal Code:  Home Phone:   Home Phone:  Fax:   Fax:  Email:   Email:

3 GAMES GUARANTEED 
ALL REGISTRATIONS THROUGH TOURNAMENT COORDINATOR .

Jim Henry 905-721-2066 or mail address: 
8-1288 Ritson Rd. N. Suite 217
Oshawa Ontario
L1G 8B2

CONFIRMATION UPON RECEIPT OF CHEQUE.
SCHEDULE WILL BE SENT OUT 1 WEEK PRIOR TO TOURNMENT DATE.