Revised April 15, 2003

    Philadelphia Shoot Out

02:02 PM .
 
 
Team Name:____________________________________________
Manager's Name:_________________________________________
Address:________________________________________________
City:___________________________________________________
State:________________________ Zip:___________________
Phone:_______________________ Work:____________________
Fax:_________________________ Email:____________________
Coach:__________________________________________
 

LEVELS (CHECK ONE) 

______

 2001

______

 1996  

______

 2000

______

 1995  

______

 1999      

______

 1998

______

 1993-94 (Midget Minor)

______

 1997

______

 1991-94 (Midget Major)
         
 

Return registration Form and

Remit $850.00

 for 2001-99

Remit $895.00

for 1998-Midget Major

Make checks playable to: Ice Line.

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