Registration, South-Port Optimist Atom Local League, 2014-2015 (Saugeen Shores Minor Hockey)

REGISTRATION:

CENTRE:   ____________________________________________________

TEAM NAME:   _________________________________________________

OMHA CLASSIFICATION #:   ______________________________________

MANAGER/PRIMARY CONTACT NAME:   _____________________________

ADDRESS:   ____________________________________________________

______________________________________________________________

PHONE:   ______________________________________________________

EMAIL:   _______________________________________________________

Please enclose your cheque of $400 payable to South-Port Optimist Club and mail to:

Rob Witter – 686 Peirson Ave, Port Elgin, ON  N0H 2C4