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OLYMPIA ICE CENTER ADULT FALL/WINTER 2016-2017 LEAGUE APPLICATION PLEASE PRINT LEGIBLE TEAM NAME: JERSEY COLOR: TEAM REP NAME:_______________________ ADDRESS:______________________________ CITY:___________________________________ STATE:_________________________ ZIP CODE:______________________ CELL PHONE( PLEASE CHECK SUNDAY NIGHT AGE: 18+ )_______________________ EMAIL:_________________________________ THE BOX AS TO WHICH LEAGUE YOU WILL BE ENTERING THIS YEAR: SUNDAY NIGHT AGE: 30+ TIER I SUNDAY NIGHT AGE:30+ TIER II SUNDAY NIGHT AGE:30+ TIER III SUNDAY NIGHT AGE: 40+ All “returning” teams from last season must accompany this application with a non-refundable entry fee of $175.00, which will be applied to league expenses and year end CASH AWARDS. Any “new” teams entering the league this year must accompany this application with a $400.00 entry fee, of which $175.00 (non-refundable) will be used for league expenses and year end CASH AWARDS. The remaining balance of $225.00 will be applied to your account to be used for any ice debt. PLEASE SUBMIT ENTRY FEE BY AUGUST 24th, 2016. LEAGUE STARTS SEPTEMBER 11TH YEAR END CASH AWARDS FOR DIVISION CHAMPS AND PLAYOFF CHAMPS! ALL LEAGUE STANDINGS WILL BE POSTED ON OLYMPIA ICE CENTER.COM ICE COST: $167.00 PER TEAM PER GAME REFEREE COST: $40.00 PER TEAM PER GAME TIMER COST: $7.00 PER TEAM PER GAME TOTAL COST PER TEAM, PER GAME: $214.00