Name:                                                                

Male/Female:                                                    

Skill Level:         1   2   3   4   5  (1=Beginner)              

Division:         A   B   C  High School                     

Street Address:                                                

City:                                                                   

Province:                        Postal Code:                

Phone:                                                                

Email:                                                                 

Fee Enclosed: $                                                

               Spring / Summer / Fall League           

Make Cheques Payable to PERPETUAL MOTION

- Individuals can register for $40/person per Spring and Summer league

- Individuals can register for $45/person for the Fall league (under the lights)

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

 

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 11th, 2003, Summer League - Friday, June 20th, 2003,

  - Fall League - Friday, August 29th, 2003   

 Send registration to:

PERPETUAL MOTION,

22B Delaware Ave.

Guelph, Ontario, N1E 3V4. 

(519) 222-0095