PRINT THIS FORM OUT
Billerica Mite Classic Tournament
APPLICATION FORM 2022
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 PRINT THIS FORM AND MAKE PAYMENTS IN U.S. FUNDS PAYABLE TO:
Billerica Hockey Association
C/O Tony Medeiros
PO Box 347
Billerica, MASS. 01821
***COST: $800.00 PER TEAM***
**PLEASE SEND A $800 NON-REFUNDABLE DEPOSIT PER TEAM BY March 1st, 2022**
***OUR TOURNAMENT COMMITTEE WILL NOTIFY THOSE TEAMS ACCEPTED TO PLAY IN OUR TOURNAMENT BY March 5th 2022***
***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_____________