Revised April 15, 2003

    Philadelphia Shoot Out

06:50 PM .
 
 
Team Name:____________________________________________
Manager's Name:_________________________________________
Address:________________________________________________
City:___________________________________________________
State:________________________ Zip:___________________
Phone:_______________________ Work:____________________
Fax:_________________________ Email:____________________
Coach:__________________________________________
 

LEVELS (CHECK ONE) 

______

 2004

______

 1999  

______

 2003

______

 1998  

______

 2002      

______

 2001

______

 1996-97 (Midget Minor)

______

 2000

______

 1994-97 (Midget Major)
         
 

Return registration Form and

Remit $895.00

 for 2004-2002

Remit $950.00

for 2001-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