InmemoryofWillard’Bud’ParkerJr-…：纪念威拉德芽”派克JR—….docVIP

In memory of Willard ’Bud’ Parker Jr., Perinton Youth Hockey is proud to present 24th Annual House Spring Tournament Application For 2013/14 House A and B teams All Divisions Mite through Midget are “No Check” Team Fees: (if deposit and application received by December 31) Mite (X-Ice only) - $375, Squirt - $680, Pee Wee - $720, Bantam - $750, Midget - $810 Location: Thomas Creek Ice Arena. Fairport, New York Contact: Roger Salmons 25 Shadowmoor Drive Fairport, NY 14450 BigThaw@ (585)734-8913 (C) A current USA Hockey Roster and a Copy of a game score sheet from November or December must accompany application (Names on Roster Score sheet must match). An excel spread sheet of players names and numbers as well as coaches names need to be submitted by 1/1/14 to get your players names in the program book. Team Name Division: Mite/Squirt/Pee Wee/Bantam/Midget Level A or B (please circle division and level) League Name: _____________________________City / State: ___________________________ Coachs Name E-mail Address: Address: City State Zip: Phone Number (Day) (Evening) Manager/Other Contact E-mail Address Address City State Zip Phone Number (Day) (Evening) Jersey Color (home) (alternate) League / Organization web site ___________________________________________________ Please make check or money order payable to Perinton Youth Hockey. Deposit check ($400) and application must be received by December 31, 2013. Applications received after January 1, 2014 will be: $385, $700, $750, $785 and $850. Balance must be received by Februar