Cross-ice Variance Request
Minor Hockey Association (MHA)
*
District
*
Contact/Applicant First Name
*
Contact/Applicant Last Name
*
Email
*
Phone
*
Position at MHA
*
Arena Name
*
Ice Surface Length (feet)
*
Ice Surface Width (feet)
*
Division
*
Please Select
U7
U9
U11
U13
U15
U18
Approximately how many games will be played on this surface?
*
Enter a number
Date of First Game
-
Year
-
Month
Day
Additional details/supporting information:
Submission Date
-
Year
-
Month
Day
Date
Hour Minutes
Status
Submit
Should be Empty: