Get Off Your A.. HOUSE HOCKEY Tournament Registration Form
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Address
*
Street Address
City
State / Province
Postal / Zip Code
Team Name
*
Division
*
8U
10U
12U
14U
Tournament Weekend
*
Feb 21-23
How did you hear about the tournament?
*
USA REGISTRATION ROSTER
*
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Deposit must be paid to secure spot or pay in full. Remaining balance due by 2/1/2025
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Entry Fee Deposit
$250.00
$
250.00
Quantity
1
2
3
4
5
6
7
8
9
10
Pay in Full
$1,625.00
$
1,625.00
Quantity
1
2
3
4
5
6
7
8
9
10
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
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