Blizzard Invitational Team Registration

Note that all fields marked with * are required.


Contact Information

Name: *

Title:*

Street Address: *

City: *

Province/State: *

Country: *

Zip/Postal Code: *

Phone: *

Mobile Phone:

Work Phone:

Email: *


Team Information

Team Name: *

Division:

Rating:

Home Light Colour:

Away Dark Colour:

Payment (by mail):

Registration is complete only when fees are received by Host Organizing Committee



Note the following tournament information:

1. Teams cannot be accepted until all fees have been paid to Host Organizing Committee.
2. All coaches and team representatives hereby agree to and will abide by all tournament rules and regulations set forth by the Tournament Committee. All teams must provide proof of insurance coverage.
3. Teams acknowledge they have read and understand OSHA Tournament Rules and Blizzard Tournament Procedures
4. As this application is accepted, it is understood and agreed that the London Blizzard Sledge Hockey Club, its directors, its members, its sponsors and their representatives, successors or heirs assume no liability for injuries, illness, damage or any other loss, however caused, as a result of participation in or traveling to/from this sledge hockey tournament and venues.


Send Payment To:

London Blizzard Sledge Hockey Club
10 Pine Ridge Place
London Ontario, Canada
N5X 3G9

For further information:

Todd Sargeant
Email: [email protected]
Home: 519-660-1705

Sigmund Bernat
Email: [email protected]
Home: 519-432-0258
Fax: 432-3281.


Office Use Only
Payment Recevied
Confirmation Sent
Email Added