Revised July 12, 2011

    2011 Pepsi Shoot Out

10:30 AM .
 
Team Name:____________________________________________
Managers Name:_________________________________________
Address:________________________________________________
City:___________________________________________________
State:________________________ Zip:___________________
Phone:_______________________ Work:____________________
Fax:_________________________ Coach:____________________
Contact Email:__________________________________________
 

LEVELS (CHECK ONE) 

   

______

 Squirt A

______

 Squirt AA

______

 PeeWee A

______

 PeeWee AA

______

 Bantam A

______

 Bantam AA

______

 Midget 16U A

______

 Midget 16U AA
______ Midget 18U A ______ Midget 18U AA    
 

Return registration Form and

Teams Remit $850.00
 

Direct Tournament Inquires to:

Mike Graves, Tournament Director
700 Lawrence Drive
West Chester, PA 19380
    
  Phone: 610 429-4370 x227
Fax: 610 429-0295
Email: mgraves@iceline.info
 
For more information call ICE LINE at 610-436-9670