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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