Awesome

Registration Form Team Name (pls print)

Single Team

Select your age group: 7-8 yrs (gr 2-3)

9 yrs old (gr 4) 10 yrs old (gr 5)

11 yrs old (gr 6) 12 yrs old (gr 7)

Player 1 m f

Phone no.

Player 2 m f

Phone no.

Player 3 m f

Phone no.

Player 4 m f

Phone no.

Payment : • •$25 • •$50 • •$75’ • •$100 INCLUDES LUNCH!

Type: • •Cash • •Cheque • •Credit Card

New!

Rules& stuff Registration package pick up at 9 AM in Main Gym.

(different door for each age group! Details @

website ministicks.ca )

Games start at 9:30 am—- Finals done as soon as

possible!!

4 players per team ...you can assign alternates on

the day.

Limit of 100 teams...… HURRY UP ‘& register!

CSA Approved helmet, face mask & mouth

guard...no goalie stuff!

NO …L.M.H.A hockey scheduled for the day!

Gloves-winter gloves or batting gloves

Indoor shoes (clean)...not stinky!

Standard issued “ministick, needs to be approved

by officials.

No body contact...thats not cool.

Team members must be same grade.

FOOD! Dudes! Pizza, snacks, popcorn!

Fun, Fun and ...… More Fun!

Plus...

DUNK TANK, seriously dudes! Dunk your coach, ref’s…

DUNK’’ EM ALL!

How to Register..

Drop off your form &

payment at

Play It Again Sports or

MALLON’S

Cost: $25 per player Includes Lunch: pizza, pop & treat!

Deadline: December 12

For more information Call —766-7135 or

go to

ministicks.ca

PA

RE

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AL

CO

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YO

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T R

EA

D T

HIS

AN

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IGN

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IS!

I (w

e), t

he u

nder

sign

ed, h

ereb

y ac

know

ledg

e th

at c

erta

in r

isks

of

inju

ry a

re in

here

nt t

o pa

rtic

ipat

ion

in r

ecre

atio

nal a

ctiv

ities

. T

hese

typ

es o

f in

jurie

s m

ay b

e m

inor

or

seri-

ous

and

may

res

ult

from

one

’s a

ctio

ns, o

r th

e ac

tions

or

inte

ract

ions

of

othe

rs o

r a

com

bina

tion

of b

oth.

I u

nder

stan

d th

at c

erta

in a

ctiv

ities

req

uire

a m

inim

um le

vel o

f fit

ness

and

hea

lth (p

hysi

cal,

men

tal,

and

emot

iona

l) an

d th

at e

ach

pers

on h

as a

diff

eren

t ca

paci

ty f

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artic

ipat

ing

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hese

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y ag

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all n

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oss

or d

amag

e to

per

son

or p

rope

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incu

rred

dur

ing

this

pr

ogra

m, i

nclu

ding

det

erio

ratio

n of

hea

lth o

r ill

ness

or

aggr

avat

ion

of c

ondi

tion

resu

lting

fro

m p

artic

ipat

ion

in t

hese

act

iviti

es.

I dec

lare

hav

ing

read

and

und

erst

ood

the

abov

e in

form

ed c

onse

nt a

gree

men

t in

its

entir

ety

and

here

by g

ive

my

cons

ent

for

the

regi

stra

nt t

o pa

rtic

ipat

e kn

owin

g al

l of

the

fore

goin

g.

I (w

e), h

ereb

y au

thor

ize

Lake

head

Uni

vers

ity t

o ta

ke p

hoto

grap

hs o

f m

y ch

ild n

amed

in t

his

appl

icat

ion

(“C

hild

’s N

ame”

) d

urin

g th

ese

activ

ities

, and

to

disp

lay

and

othe

r-w

ise

use

thes

e ph

otog

raph

s w

ithou

t ch

arge

sol

ely

for

the

purp

ose

of p

rom

otio

nal m

ater

ial.

The

per

sona

l inf

orm

atio

n be

ing

colle

cted

is f

or t

he p

urpo

se o

f as

sist

ing

the

prog

ram

dire

ctor

or

staf

f, in

the

eve

nt o

f an

em

erge

ncy.

It

may

als

o be

use

d fo

r m

ailin

g in

form

atio

n re

gard

ing

futu

re e

vent

s.

child

’s n

ame

S

igna

ture

of

Pare

nt /

Gua

rdia

n

dat

e

child

’s n

ame

S

igna

ture

of

Pare

nt /

Gua

rdia

n

dat

e

child

’s n

ame

S

igna

ture

of

Pare

nt /

Gua

rdia

n

dat

e

child

’s n

ame

S

igna

ture

of

Pare

nt /

Gua

rdia

n

dat

e

Tea

m E

mer

genc

y C

onta

ct N

ame:

T

elep

hone

:

Round Robin Tournament

- 4 games guaranteed

- Top 2 teams advance to

Championships.

Prizes..

-1st Place team (each player)

wins $60.00 value pack from

Play It Again Sports

-EPIC sized trophies!

-Draws for cool NHL stuff!

- Tee-shirts from Mallon’s

- Tons of awesome stuff,

dudes!

ministicks.ca

I n s u p p o r t o f . . .

& m i n o r h o c k e y

H e l d a t L a k e h e a d U n i v e r s i t y ’ - m a i n g y m

R e g i s t e r b y D e c e m b e r 1 2 t h

G e t y o u r r e g i s t r a t i o n f o r m s f r o m o u r w e b s i t e

m i n i s t i c k s . c a o r

P l a y I t A g a i n S p o r t s o r M a l l o n s

D R O P O F F y o u r r e g i s t r a t i o n f o r m a t P l a y I t A g a i n S p o r t s o r M a l l o n s

S p o n s o r e d b y . . .

S a t u r d a y , D e c e m b e r 2 0 , 2 0 0 8

PA

RE

NT

AL

CO

NS

EN

T

YO

U M

US

T R

EA

D T

HIS

AN

D S

IGN

TH

IS!

I (w

e), t

he u

nder

sign

ed, h

ereb

y ac

know

ledg

e th

at c

erta

in r

isks

of

inju

ry a

re in

here

nt t

o pa

rtic

ipat

ion

in r

ecre

atio

nal a

ctiv

ities

. T

hese

typ

es o

f in

jurie

s m

ay b

e m

inor

or

seri-

ous

and

may

res

ult

from

one

’s a

ctio

ns, o

r th

e ac

tions

or

inte

ract

ions

of

othe

rs o

r a

com

bina

tion

of b

oth.

I u

nder

stan

d th

at c

erta

in a

ctiv

ities

req

uire

a m

inim

um le

vel o

f fit

ness

and

hea

lth (p

hysi

cal,

men

tal,

and

emot

iona

l) an

d th

at e

ach

pers

on h

as a

diff

eren

t ca

paci

ty f

or p

artic

ipat

ing

in t

hese

act

iviti

es.

I (w

e), h

ereb

y ag

ree

that

the

Lak

ehea

d U

nive

rsity

, its

fac

ulty

, sta

ff, a

nd a

gent

s sh

all n

ot b

e lia

ble

for

any

inju

ry, l

oss

or d

amag

e to

per

son

or p

rope

rty,

incu

rred

dur

ing

this

pr

ogra

m, i

nclu

ding

det

erio

ratio

n of

hea

lth o

r ill

ness

or

aggr

avat

ion

of c

ondi

tion

resu

lting

fro

m p

artic

ipat

ion

in t

hese

act

iviti

es.

I dec

lare

hav

ing

read

and

und

erst

ood

the

abov

e in

form

ed c

onse

nt a

gree

men

t in

its

entir

ety

and

here

by g

ive

my

cons

ent

for

the

regi

stra

nt t

o pa

rtic

ipat

e kn

owin

g al

l of

the

fore

goin

g.

I (w

e), h

ereb

y au

thor

ize

Lake

head

Uni

vers

ity t

o ta

ke p

hoto

grap

hs o

f m

y ch

ild n

amed

in t

his

appl

icat

ion

(“C

hild

’s N

ame”

) d

urin

g th

ese

activ

ities

, and

to

disp

lay

and

othe

r-w

ise

use

thes

e ph

otog

raph

s w

ithou

t ch

arge

sol

ely

for

the

purp

ose

of p

rom

otio

nal m

ater

ial.

The

per

sona

l inf

orm

atio

n be

ing

colle

cted

is f

or t

he p

urpo

se o

f as

sist

ing

the

prog

ram

dire

ctor

or

staf

f, in

the

eve

nt o

f an

em

erge

ncy.

It

may

als

o be

use

d fo

r m

ailin

g in

form

atio

n re

gard

ing

futu

re e

vent

s.

child

’s n

ame

S

igna

ture

of

Pare

nt /

Gua

rdia

n

dat

e

child

’s n

ame

S

igna

ture

of

Pare

nt /

Gua

rdia

n

dat

e

child

’s n

ame

S

igna

ture

of

Pare

nt /

Gua

rdia

n

dat

e

child

’s n

ame

S

igna

ture

of

Pare

nt /

Gua

rdia

n

dat

e

Tea

m E

mer

genc

y C

onta

ct N

ame:

T

elep

hone

:

Round Robin Tournament

- 4 games guaranteed

- Top 2 teams advance to

Championships.

Prizes..

-1st Place team (each player)

wins $60.00 value pack from

Play It Again Sports

-EPIC sized trophies!

-Draws for cool NHL stuff!

- Tee-shirts from Mallon’s

- Tons of awesome stuff,

dudes!

ministicks.ca

I n s u p p o r t o f . . .

& m i n o r h o c k e y

H e l d a t L a k e h e a d U n i v e r s i t y ’ - m a i n g y m

R e g i s t e r b y D e c e m b e r 1 2 t h

G e t y o u r r e g i s t r a t i o n f o r m s f r o m o u r w e b s i t e

m i n i s t i c k s . c a o r

P l a y I t A g a i n S p o r t s o r M a l l o n s

D R O P O F F y o u r r e g i s t r a t i o n f o r m a t P l a y I t A g a i n S p o r t s o r M a l l o n s

S p o n s o r e d b y . . .

S a t u r d a y , D e c e m b e r 2 0 , 2 0 0 8

Boys and Girls Clubsof Thunder Bay

Free round of Mini-putt with registration