Name:                                                                     

Male/Female:                                                            

Skill Level:    1    1.5    2    2.5     3     3.5     4     4.5     5   (1=Beginner)

Division:A1(Monday)   A2(Thursday)  B7(Monday)  B(Wednesday)  C (Tuesday)  C(Thursday)

Phone:                                                                     

Email:                                                                     

Fee Enclosed: $                                                        

Spring / Summer / Fall League

Make Cheques Payable to Perpetual Motion

- Individuals can register for $45*/person Spring and Summer league

- Individuals can register for $35*/person Fall league

(However, team placement is not guaranteed and subject to available space)

* = includes H.S.T. 

  Please place me on the same team as my friend(s) listed below:

Name	Phone Number	Email	M/F
1)
2)
3)
4)
5)

Registration Deadlines - Spring League - Friday, April 27nd, 2012, Summer League - Friday, June 22nd, 2012

- Fall League - Friday, August 17th, 2012

 Send registration to:

Perpetual Motion

223 Waterloo Ave. Guelph, Ontario N1H 3J4 (519) 222-0095