Fargo Flyers
Squirt International Hockey Tournament
February 25-27, 2011Application Form
TEAM NAME: ________________________________________ SQUIRT LEVEL: _____A or _____B
TEAM CONTACT PERSON: __________________________________________________________
ADDRESS: ________________________________________________________________________
CITY: ____________________________ STATE/ Province: ________ ZIP/Postal Code: _________
PHONE # (Day): (____)_____- ______(Evening): (____)_____-______ FAX: (____)_____-______
E-MAIL: _____________________________________________________________ORGANIZATION NAME: _____________________________________________________________
ADDRESS: ___________________________________ CITY: ______________________________
STATE/ Province: _______ ZIP/Postal Code: ___________ PHONE NO.: (_____)______-_______
WEB SITE: __________________________________ E-Mail: _______________________________
DEADLINE DATE FOR APPLICATION IS OCT. 15, 2010
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, 58106Al Hintz, Director,
E-mail: ahintz@kineticlease.com
Web site: www.fargoflyershockey.comUSA Hockey 1999-2000 age guidelines, and USA Hockey Northern Plain’s District 7-1-99 thru 6-30-01 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, 2010 to make the selection of the teams. Teams selected to attend this years’ tournament will be notified on October 16, 2010.
Signature ______________________________________________Date ______/______/ 2010