*Team/Association Name:
OWHA Team#:
CAHA Team#:
USA Hockey Team#:
USA Team Only:	Do you have a permit?  Yes  No
Which Division Would You Like to Enter?:	Novice AA Novice A Novice BB Novice B Atom AA Atom A Atom BB Atom B Peewee AA Peewee A Peewee BB Peewee B Bantam AA Bantam A Bantam BB Bantam B Midget AA Midget A Midget BB Midget B Intermediate AA Intermediate A Intermediate BB Senior AA Senior A Senior Rec
Does Your Team/Association Have a Website:
Regular Season League:
*Team Contact Name:
*Home Phone:
Work Phone:
Cell Phone:
Fax:
Mailing Address Information
*House/Apartment Number:
*Street:
*City/Town:
*Province/State:
*Postal/Zip Code:
*Country:
*Email Address:
Head Coach Name:
Cert#:
Assistant Coach Name:
Cert#:
Assistant Coach 2 Name:
Cert#:
Trainer Name:
Cert#:
Team Manager Name:
Team Roster/Player Information
Home Jersey Colours:	*Body  *Arms
Away Jersey Colours:	*Body  *Arms
Home Jersey Information
	Jersey #     Player Name (Last, First)
Comments:
Use your browser's PRINT button to make a copy for your own records.