Billerica Hockey Association(BHA) is a non-profit youth hockey association open to all Billerica youths eighteen (18) and under.BHA is organized to provide youths with a recreational amateur hockey development program implemented through skill develop

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Indian Cup Classic Tournament

 

APPLICATION FORM 2019

 

 

TEAM NAME:__________________________________________________________

 

TEAM LEVEL: _________________

 

TEAM MANAGER:______________________________________________________

 

ADDRESS_____________________________CITY/STATE/ZIP__________________

 

EMAIL ADDRESS_______________________________________________________

 

HOME PHONE#_________________________CELL PHONE#___________________

 

HEAD COACH:__________________________________________________________

 

ADDRESS_____________________________CITY/STATE/ZIP__________________

 

EMAIL ADDRESS_______________________________________________________

 

HOME PHONE#_________________________CELL PHONE#___________________

 

 

PLEASE MAKE PAYMENTS IN U.S. FUNDS PAYABLE TO:

 

Billerica Hockey Association

C/O Tony Medeiros

PO Box 347

Billerica, MASS. 01821

 

***COST: $1200.00 PER TEAM***

 

**PLEASE SEND A $700 NON-REFUNDABLE DEPOSIT PER TEAM BY February 15th, 2019**

***OUR TOURNAMENT COMMITTEE WILL NOTIFY THOSE TEAMS ACCEPTED TO PLAY IN OUR TOURNAMENT BY March 1st 2019***

 

***ANY TEAM NOT ACCEPTED TO PLAY IN OUR TOURNAMENT WILL RECEIVE THEIR DEPOSIT BACK***

** This tourney will be selected by the order in which we receive the deposit & application and Please provide check number_____________