Pond Hockey

Registration Form

February 1 & 2, 2020

Lake Morey Resort – Fairlee, VT 05045

Due to limited availability, please download your registration form and email melissa@lakemoreyresort.com

Please mail registration forms and checks to:

Lake Morey Resort
PO Box 326
Fairlee, VT 05045

If paying by a credit card:

Fax: 802-333-4553
E-mail: melissa@lakemoreyresort.com

Required fields indicated with an asterisk.

Team Type

Division

Open Division

League

Upperclassmen

Pond

Team Name

First Name

Last Name

Captain/Contact Email

Captain/Contact Phone

Address

City

State / Province / Region

Zip

Country

Player's Name

Date of Birth

Level of Play

Player's Name

Date of Birth

Level of Play

Player's Name

Date of Birth

Level of Play

Player's Name

Date of Birth

Level of Play

Player's Name

Date of Birth

Level of Play

Player's Name

Date of Birth

Level of Play

Entry Fee

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