Check the tournament you wish to enter.
Please circle the
level of team entry.
____ December 10 - 12, 2010 Squirt $300 A B
____ January 7 - 9, 2011 Bantams $300
A
B
____ January 14 - 16, 2011 Pee Wee $300 A B
____ March 11 - 13, 2011 Mite-Mini Mite Jamboree $200
_____ Mini-Mites
_____ Beginning Mites (mostly first year players)
_____ Advanced Mites
(mostly second year players)
Team Name/Association Name__________________________________
Team Colors__________________________________
Coach or Contact Name__________________________________
Coach or Contact Phone Number___________________________
Coach or Contact Address________________________________
Coach or Contact Address________________________________
Coach or Contact E-Mail___________________________________
Please send this form, entry fee, and copy of team roster and birthdates to
Worthington Hockey Association
PO Box 123
Worthington, MN 56187
Hotel Information available at http://www.wgtn.net/lodge.htm
Dining Information available at
http://www.wgtn.net/dine.htm
Tournament Information available at http://www.wgtnhockey.net/tournaments.html
Map to Worthington Ice Arena available at http://www.wgtnhockey.net/arenamap.html
Rules available at http://www.wgtnhockey/tournaments/rules.html