Midget Kiwanis

46^th Kiwanis International Midget Tournament Edition Inscription Form

Person to contact:

* Name:

Phone (home):

( ) -

Phone (work):

( ) -

Mobile:

( ) -

* E-mail:

Team Information:

* Category:

Midget AAA Midget AA

* Team Name:

League Name:

Team Web Site:

League President Information:

Name:

Phone (home):

( ) -

Phone (work):

( ) -

Mobile:

( ) -

E-mail:

Team Manager Information:

Name:

Address:

City:

Province/State:

Postal Code/ZIP Code:

Phone (home):

( ) -

Phone (work):

( ) -

Mobile:

( ) -

E-mail:

Team Coach Information:

Name:

Address:

City:

Province/State:

Postal Code/ZIP Code:

Phone (home):

( ) -

Phone (work):

( ) -

Mobile:

( ) -

E-mail:

First Game Disponibility:

	Yes	No
Tuesday
Wednesday
Thursday

* Mandatory field

The registration form should be received before September 30, 2010 accompanied by a money order or a cheque in the amount of $650 CDN or US. The money order or the cheque must be made out in the name of the Gatineau International Kiwanis Midget Hockey Tournament. Send your registration and payment to the following address:

Gatineau International Kiwanis Midget Hockey Tournament
320 Boul. SAINT-JOSEPH
CP 79185
GATINEAU, QC
J8Y 3Y0

The selection of the teams is based on two major criteria:

The availability of the team to play its first match
and the performance of the team.

Teams not selected will be reimbursed.

To submit, please enter the following code: 8595

Code

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