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TEAM REGISTRATION FORM
I, ………………………………………………….. Team Captain of ………………………………………………
hereby register my TEAM toparticipate in the 2nd Indoor Pond Hockey Classic at
ijsbaan Ruggeveld in Antwerp (Deurne).
TEAM NAME
ADDRESS
CITY
COUNTRY
e-mail
Website
Social Media
The followingplayerswillparticipateand I declarethatallplayers have insurance (RBIHF
or otherwise).
NAME

T-Shirt
Size

Amount65€/pp

1. Goalie:
2. Player:
3. Player:
4. Player:
5. Player:
6. Player:
7. Player:
Total:




Complete & return to: indoorpondhockeyclassic@gmail.com
Pay the amountdue via the following bank account (65€ per person):
BNPPARISBASFORTIS – IBAN 29 0014 9785 1364
Don'tforgettomention ‘Pond Hockey - Team Name’and‘N° of participants’

www.facebook.com/IndoorPondHockeyClassic
www.phantoms.be - www.hockey-community.com
Poweredby

OPTINAL HOODIE*
ORDER FORM
 Pay the amountdue via the following bank account:
BNPPARISBASFORTIS – IBAN 29 0014 9785 1364
 Don'tforgettomentionyourTeam NameandN° of participants
NAME

HoodieSize

1. Goalie:

Amount €
45

2. Player:
3. Player:
4. Player:
5. Player:
6. Player:
7. Player:
Total:




Complete & return to: indoorpondhockeyclassic@gmail.com
Pay the amountdue via the following bank account:
BNPPARISBASFORTIS – IBAN 29 0014 9785 1364
Don'tforgettomention‘Hoodies’ & ‘yourTeam Name’and‘N° of participants’

*For thisyear’sedition we optedfor the vintage colors of the Edmonton Oilersfor the
official T-shirt andHoodie of the Indoor Pond Hockey Classic

www.facebook.com/IndoorPondHockeyClassic
www.phantoms.be - www.hockey-community.com

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2014 Indoor Pond Hockey Classic REGISTRATION FORM

  • 1. Poweredby TEAM REGISTRATION FORM I, ………………………………………………….. Team Captain of ……………………………………………… hereby register my TEAM toparticipate in the 2nd Indoor Pond Hockey Classic at ijsbaan Ruggeveld in Antwerp (Deurne). TEAM NAME ADDRESS CITY COUNTRY e-mail Website Social Media The followingplayerswillparticipateand I declarethatallplayers have insurance (RBIHF or otherwise). NAME T-Shirt Size Amount65€/pp 1. Goalie: 2. Player: 3. Player: 4. Player: 5. Player: 6. Player: 7. Player: Total:    Complete & return to: indoorpondhockeyclassic@gmail.com Pay the amountdue via the following bank account (65€ per person): BNPPARISBASFORTIS – IBAN 29 0014 9785 1364 Don'tforgettomention ‘Pond Hockey - Team Name’and‘N° of participants’ www.facebook.com/IndoorPondHockeyClassic www.phantoms.be - www.hockey-community.com
  • 2. Poweredby OPTINAL HOODIE* ORDER FORM  Pay the amountdue via the following bank account: BNPPARISBASFORTIS – IBAN 29 0014 9785 1364  Don'tforgettomentionyourTeam NameandN° of participants NAME HoodieSize 1. Goalie: Amount € 45 2. Player: 3. Player: 4. Player: 5. Player: 6. Player: 7. Player: Total:    Complete & return to: indoorpondhockeyclassic@gmail.com Pay the amountdue via the following bank account: BNPPARISBASFORTIS – IBAN 29 0014 9785 1364 Don'tforgettomention‘Hoodies’ & ‘yourTeam Name’and‘N° of participants’ *For thisyear’sedition we optedfor the vintage colors of the Edmonton Oilersfor the official T-shirt andHoodie of the Indoor Pond Hockey Classic www.facebook.com/IndoorPondHockeyClassic www.phantoms.be - www.hockey-community.com