
Check the tournament you wish to enter.
Please circle the
level of team entry.
____ Squirt November 11-13, 2011 $500 A B
____ Bantams December 9-10, 2011 $500
A
B
____ Pee Wee November 19 - 20, 2011 $500 B only
____ Mite-Mini Mite Jamboree March 9 - 11, 2012 $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