The Memorial Rep Hockey Tournament - Registration Form

The Memorial Rep Hockey Tournament

Registration Information
Tournament
PERMIT # 26596

When:November 28th - November 30th, 2025

Divisions Accepted:
U10 AA, U10 A
U11A, U11B
U12A, U12B
U13A, U13B
U18A, U18B

COST: U10-U13 Rep - $1700
U18A Rep - $1850

HOST: Belle River District Minor Hockey Association

4 GAMES GUARANTEED

Payments can be made via E-Transfer to:

tournamentpayment.brdmha@gmail.com
Registration Date

MonthDayYear
Team Information
Division
Team Name
Association
Key Contact Information
Full Name

First NameLast Name
Position
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
E-mail
Do you require information on accomodations?

YesNo
Do you have any special requests?

YesNo
Details of any special requests you may have...
Coaching Information
Head Coach
Full Name

First NameLast Name
E-mail
Phone Number

Area CodePhone Number
E-mail
Phone Number

Area CodePhone Number
Full Name

First NameLast Name
E-mail
Phone Number

Area CodePhone Number
Manager
Full Name

First NameLast Name
Phone Number

Area CodePhone Number
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