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2025 Alberta Provincial Championship - Team Roster Submission Form
Deadline: March 1, 2025
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Team Name *
Team Name *
Manager / Captain *
Manager / Captain *
Phone Number xxx xxx-xxxx *
Phone Number xxx xxx-xxxx *
E-mail *
E-mail *
Zone *
Zone 1
Zone 2
Zone 3
Zone 4
Zone 5
Zone 6
Zone 7
zone 8
Zone *
Choice without description
Age Category *
55+
60+
65+
70+
75+
Age Category *
Choice without description
Players Fee *
$125.00
Players Fee *
Choice without description
Please enter the number of players attending the Mixer on Apr 11 *
Please enter the number of players attending the Mixer on Apr 11 *
*
I confirm that I have reviewed the team roster and that all players are within the age category for our Division and that the information contained within the roster form is accurate.
*
Choice without description
*
I acknowledge that all players must reside in the Zone or be assigned from the individual player hockey pool and be approved by the APC committee. Minimum 10 players / Maximum 18 player (including Goalie).
*
I confirm that I will e-transfer $125.00 per player minus the $500 pre-registration fee to apchockey55@gmail.com before the assigned deadline or have made alternate arrangements with the APC committee to transfer the funds.
*
By submitting this form, I acknowledge that as the Team Manager, I am responsible for the accuracy and submission of this form as well as the Team Roster form and that anyone submitting false or misleading information may be subject to disciplinary action up to and including suspension from this tournament or being banned from future tournaments.
*
Choice without description
Send me a copy
Leave this field empty
Submit form
