Rock The House 2015 - Click here for Information!

March 18-22
Mite Division
Squirt Division
March 25-29
Pee Wee Division
Bantam Division
Tournament Highlights
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Game MVP for each championship game
Referees and Scorekeepers for all games
‘Upper’ & ‘Lower’ Divisions
Raffle for Prizes and Camps
Trophies for 1st and 2nd place
3 Game Minimum
Mite
$625 (by 2/15/15)
$695 (after 2/15/15)
Squirt-Peewee-Bantam
$650 (by 2/15/15)
$725 (after 2/15/15)
USA Hockey rosters required at time of registration. No additions to roster will be permitted. A 50% deposit
is required to reserve a team’s spot, and the remaining balance is due by the aforementioned due dates.
Travel players above the B level will not be permitted to play. Travel players of the “B” level can comprise
no more than 20% of a team’s roster.
Team Name:_________________________________
Division:
MT
SQ
PW
BT
Team Contact:________________________________
Address: ____________________________________
City: ________________________________
State: _______________ Zip Code: ______________
Phone Number: ______________________________
Email: ______________________________
Team Jersey Colors: Home: ____________________________ Away: _________________________
Type of Payment:
Visa
MasterCard
Card #: __ __ __ __ __ __ __ __ __ __ __ __
American Express
__ __ __ __
Name of Customer on Card: ______________________________
CVC # ___________
Cash
Check
Expiration Date: ______/______/______
Check Number: ____________________
Register your team online at www.floydhallarena.com or
contact [email protected] 973-746-7744