Charlestown youth hockey association

Bryan J. McGonagle Memorial Tournament
March 7^th – 9^th 2008

Team Information: (please print or type)

Team Name

Head Coach

Asst. Coach

Asst. Coach

Contact Person

Telephone (home)

Telephone (other)

E-Mail

Three game minimum with top two teams moving on to finals.

Tournament Cost:

Entry Fee	$750.00 ($650.00 if paid in full by January 29^th)
Deposit Amount	$400.00
Deposit due by	January 29^th, 2008
Balance due By	February 22^nd, 2008
Amount Enclosed

Division: Squirt A (Tier II) ____ PeeWee B (Tier III) ____ Girls U12 ____ Girls U14_____

Town Teams Only Please. No selects or all-star teams.

League (& Division) played during the regular season: ___________________________________

A copy of your teams USA Hockey roster for the 2007 – 2008 season must be submitted with this application. Make Checks Payable To:

CYHA

P.O. Box 712

Charlestown, Ma. 02129

Email any questions to: board@chya.com