Fargo Flyers
Squirt International Hockey Tournament
February 23-26, 2012

Application Form

TEAM NAME: ________________________________________ SQUIRT LEVEL: _____A or _____B

TEAM CONTACT PERSON: __________________________________________________________

ADDRESS: ________________________________________________________________________

CITY: ____________________________ STATE/ Province: ________ ZIP/Postal Code: _________

PHONE # (Day): (____)_____- ______(Evening): (____)_____-______ FAX: (____)_____-______

E-MAIL: ____________________________________ Hotel Res. Code______________________

ORGANIZATION NAME: _____________________________________________________________
                                                               
ADDRESS: ___________________________________ CITY: ______________________________
                               (If different than above.)
STATE/ Province: _______ ZIP/Postal Code: ___________ PHONE NO.: (_____)______-_______

WEB SITE: __________________________________ E-Mail: _______________________________

 

DEADLINE DATE FOR APPLICATION IS OCT. 15, 2011
ENTRY FEE: $ 950.00 (US Funds)
 Fee made payable to
'FARGO FLYERS HOCKEY'
Submit Application along with Fee to

Fargo Flyers Squirt International Hockey Tournament
P.O. Box 11255 Fargo, ND, 58106

Al Hintz, Director,
E-mail: ahintz@kineticlease.com
Web site: www.fargoflyershockey.com

USA Hockey 2000-2002 age guidelines, and USA Hockey Northern Plains District 7-1-00 thru 12-31-02 accepted. USA Hockey rules will be in effect during the tournament.

Submission of application DOES NOT guarantee selection to the Tournament.  The Tournament Selection Committee meets on the evening of October 15, 2011 to make the selection of the teams. Teams selected to attend this years’ tournament will be notified on October 16, 2011.

Signature _________________________________________________Date ______/______/ 2011