8th Annual Pacific Coast International Roller Hockey Tournament

July 4-6, 2008

Victoria, BC

Official Team Entry Form
Team Name
.
Division:
.
Level (circle one):
AAA
AA
Club
Contact Person:
.
Contact Address:
.
City:________________________________Prov/State:___________________Postal Code:___________________
Home Phone (_____) ________________________ Work/Cell Phone (______) ____________________________
Fax (_____) __________________________ EMAIL (mandatory) ______________________________________
Please print all above information clearly
Entry is not guaranteed until Entry Form and Entry Fee have been received.
Age Divisions: (Age Cutoff December 31, 2007)
Atom: 8&under (Born 1999-2000) Bantam: 16&under (Born 1991-92)
Mite: 10&under (Born 1997-98) Midget: 18&under (Born 1989-90)
Squirt: 12&under (Born 1995-96)  
Peewee: 14&under (Born 1993-94)  

$500.00 Per Team

Note: All teams must be members of a BCIHA Sanctioned League. All players must be registered members of BCIHA.

Entry Fee is Non-Refundable
Registration Deadline: June 15, 2008
Space is limited so Register early!
Payment method: CHEQUE
Mail Cheques payable to:
BCIHA
100 - 20165 - 91A Avenue, Langley, BC V1M 3A2
To Register via Phone or Fax:

Ph: 604-882-1611 ext. 703 Fax: 604-882-1609

For Registration Information call: 604-882-1611 ext. 703 or email: shill@bciha.com