Team Registration.::. Cruisers Cup

Register your team!

Please fill out the following form to submit your registration for the 2011 Cruisers Cup.
If you hit 'enter' the form will submit. Please use the 'tab' key or move your mouse to the next field.

Please forward the full payment of $625 (Cdn). Team registration is not official until payment is recieved.

Send payment to:
Cruisers Sports for the Physically Disabled
Attn: Ken Hall
12 Dunhill Road
Brampton, ON L6X 4M1

Please provide contact information for two people.

Team name:

Team contact name:
Team contact email:
Team contact phone:

Secondary contact name:
Secondary contact email:
Secondary contact phone:

Street Address:

City/Town: Province/State: Country:

Jersey Colours: Dark: Light:

Division:

Junior
Intermediate A
Intermediate B
Intermediate C

Team Leaders:

Coach name:
Assistant Coach name:
Trainer name:
Manager name:

Certification is MANDITORY for the coach & trainer.
Rosters and certification info will be submitted in October 2011.

Any additional comments:

Please check your entries for errors before submitting!

Questions about the form may be submitted to the webmaster.
Questions about the tournament should be directed to Ken Hall.

November 4-6, 2011

South Fletcher's Sportsplex - Brampton, ON

Team Registration

Register your team!