TCIA JV Tournament Registration

THOMAS CREEK ICE ARENA AND PRO-SHOP
80 LYNDON RD., FAIRPORT, NY 14450 (585)223-2160

APPLICATIONS WILL BE ACCEPTED ON A FIRST COME FIRST SERVE BASIS. NO APPLICATIONS WILL BE ACCEPTED WITHOUT PAYMENT. RELEASE FORM MUST ACCOMPANY REGISTRATION FORM IF NOT ON FILE WITH TCIA.

Manager/Coach Information: (All fields must be filled in)

Date:   
Name: Home #:
Work:      Cell:  
Address:   
City:    State: Zip:
Email:
Payment:     Card #:   
Exp. date:            V-Code #(3 numbers on the back of card)

Basic Information: 
High School:
Team Name:
Jersey Color:
Position:

By clicking "submit" you have agreed  to Thomas Creek Ice Arena's Standard Terms and Conditions