MIDDLE SCHOOL A The MS A level is designed for students born 2003-2001 with hockey playing experience. CHECKING & SLAP SHOTS PERMITTED! MIDDLE SCHOOL B Greater Philadelphia Scholastic Hockey League Fall-Winter 2015-2016 The MS B level is designed for students born 2005-2002 with limited playing experience. NO CHECK—SLAP SHOTS PERMITTED! ELEMENTARY The Elementary School league is designed for students born 2008-2005. NO CHECK—NO SLAP SHOTS GENERAL LEAGUE INFORMATION September 2015 through March 2016 18 game season plus playoffs 5-free practices for individual enrollment ONLY! Middle School & Elementary School Levels (subject to coach/time availability) Game Days: Sunday- Monday- Friday Evenings! USA Hockey Rules will apply to game play All teams, players, and coaches must be USA Hockey registered for the 2015-2016 season Official T1 rosters due prior to first game. Final rosters locked on December 31, 2015! Team & Individual awards for league champion and runner-up! 10990 Decatur Road Philadelphia, Pa 19154 215-618-0050 www.FlyersSkateZone.com GENERAL LEAGUE INFORMATION Individual Registration Desired Division: (please circle one) Middle A Middle B The GPHSHL will be looking for individual sign-ups for the flowing Schools to field individual teams for the upcoming seasons. Elementary Player: Address: City: State: Zip: Independent Schools Email: Phone: D-O-B: Grade: Age: School: Position: All players must provide USAH player number for the 2015-2016 season to participate Individual Fee: $ 450 $200 due with application $250 due by 9/15/15 Individual players may be placed on existing teams in need of players. In consideration of the participant being permitted to register and participate in the hockey program at Flyers Skate Zone Northeast Philadelphia, we do hereby forever release and discharge its Directors, Agents, Employees, Professional Staff, and any person connected herewith from all manner of action, injury, damages, costs, claims, or demands which will, shall or may hereafter suffer, or receive by reason of such participation in the program. The release shall be binding to our heirs, assignors, executers, and administrators. In the event of my cancelation, I understand that all monies are nonrefundable. Print Name: Signature: Date: MaST Charter Pachs Charter Franklin Towne Charter Our Lady of Grace St. Martha’s St. Anslem Christ the King Our Lady of Calvary Fitzpatrick School Decatur School Hancock School Comly Elem Baldi Middle School Thomas Holme Elem Anne Frank Elem. School Lane Charter LaBrum Middle School Nazareth Academy Grade St. Katherine of Siena Woodrow Wilson School St. Dominic’s School Greenberg Elem New Foundations Charter Tacony Academy Charter Bensalem SD St. Charles Borromeo School Team Registration Team 1 Name: Team Level: Team Rep: Rep Phone 1: Rep Phone 2: Rep Email: Team 2 Name: Team Level: Team Rep: Rep Phone 1: Rep Phone 2: Rep Email: League Fees Questions?? For more information about joining the GPHSHL please contact: Roman Bussetti at 215-618-0053 or email [email protected] Team Fee: $5950 $1000 Due with Application $4950 Due by First Game
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