2018-2019 > Justin William AA Tournament > Justin Williams AA - Minor Peewee (Northumberland Minor Hockey)

Justin Williams AA - Minor Peewee

This form has a limit of 7 submissions. At the moment this page loaded, 7 submissions have been submitted. It is possible that not all submissions have been validated at this time, and more openings could become available. However, at this time no more submissions are permitted.

Thank you for entering our AA Tournament (October 19-21)

You have two payment options.

1. Pay your tournament fee online (In-full) using a credit card or PayPal.

or

2. Pay online, a $200 non-refundable deposit with balance to follow by cheque.
The balance can be sent made payable to the “Northumberland Minor Hockey Association or “NMHA” to:

Northumberland Minor Hockey Association
750 D'Arcy St.,
Cobourg, ON
K9A 0G1

Please add team name and division to the memo line, Include "AA"

Payment Info

Payment Amount^*

Required

Tournament Division^*

Required

Which division are you registering for?

Payment Type^*

Credit Card or Paypal Payment In-Full Now
Credit Card Deposit Now - $700 Balance by Cheque Later

Required

Your Team Information

Team Name^*

Required

i.e Northumberland Nighthawks

Association^*

Required

i.e Northumberland Minor Hockey Association

Branch^*

Required

i.e. OMHA, Alliance, GTHL etc.

Category^*

Required

AA, A

League^*

Required

i.e. Tri-County, York-Simcoe, GTHL etc

Jersey Colours:

NOTE: Bring both sets of jerseys to the tournament in case of colour conflicts!

Home^*

Required

Body Colour / Trim

Away^*

Required

Body Colour / Trim

Manager Contact

Note: In all cases the manager will be utilized as the primary contact. Please ensure that the person declared as manager has a functioning fax machine and e-mail address as communication is done primarily through these avenues.

Manager^*

Required

Address^*

Required

City^*

Required

Postal Code^*

Required

Home Phone^*

Required

Example: ###-###-####

Work Phone

Example: ###-###-#### x###

Email Address^*

Required

Your registration Confirmation will be sent to this address

Fax #

Example: ###-###-####

Coach Contact

Head Coach^*

Required

Address^*

Required

City^*

Required

Postal Code^*

Required

Home#^*

Required

Example: ###-###-####

Work#

Example: ###-###-#### x###

Email Address

Example: [email protected]

Fax #

Example: ###-###-####

Roster

Prior to the start of the tournament, I understand we will be responsible to post players names and jersey numbers to the website. We shall also upload an electronic travel permit and roster.

Posting Roster^*

YesNo

Required

Roster/Travel Permit Upload^*

YesNo

Required

By checking the box below, the Team Manager/Head Coach on behalf of his/her team releases any sponsors of the above mentioned tournament, its officials, arena management and all concerned with the tournament, from any liability for any injury or accident which may be incurred by any players or team official while participating in, or coming to, or going from, the tournament and accepts all decisions of the tournament committee as final.

We hereby acknowledge the deposit amount of $200 of the tournament entry fee is non-refundable and understand the following;

Any team withdrawing from the tournament 30 days or less from the start of the tournament shall forfeit all paid monies.

Initial acceptance to the tournament is granted upon payment completion of the tournament entry fee [In-Full] unless contacted directly by tournament organizers stating otherwise. Final acceptance is granted once a team submits an Approved Roster to verify the team's eligibility to participate in the Justin Williams AA Tournament.

The Justin Williams Cup Tournament Committee reserves the right to deny entry into the tournament, without reason. Should this situation arise, all entry fees (including the deposit) shall be refunded to the payee.

Balance of tournament fees are due no later than September 1st to guarantee a spot in the tournament.

Hotel Rooms are subject to availability.

I agree to the terms and conditions stated above^*

Justin Williams AA - Minor Peewee, Justin William AA Tournament, 2018-2019 (Northumberland Minor Hockey)

Payment Info

Your Team Information

Jersey Colours:

Manager Contact

Coach Contact

Roster

Get Mobile!

Contact Us