Pucktoberfest Team Registration

 

Registration For 7th Annual Pucktoberfest
Hockey Team Name*
Hockey Organization (If Applicable)
Team Ability Level* B1 - Mostly Intermediate Players, some A players
B2 - Novice to Intermediate Players only
C - Recreation - Novice
Team Contact Name*
Team Contact Address*
Team Contact City*
Team Contact State*
Zip Code*
Home Phone*
Cell Phone*
Work Phone
E-Mail*
Today's Date*