men's-registration

2024 Puck Cancer Men's Registration
Contact us at [email protected] with questions.

* Indicates required field

Team Name *

Team Contact *

Contact Email *

Team Fundraising Page? *

Team City/St *

Jersey Colors *

Division *

MENS C2 MENS C3 MENS D

ROSTER
Add Player Names below OR upload your roster. Rosters will be due July 11, 2022.
Make sure to include: Players Name, Players Highest Level Played, Jersey #'s (if available).

Upload Roster *

Max file size: 20MB

Goalie #1 - #/Name / Highest Level Played *

Goalie #2 - #/Name / Highest Level Played *

Player 1 - #/Name / Highest Level Played *

Player 2 - #/Name / Highest Level Played *

Player 3 - #/Name / Highest Level Played *

Player 4 - #/Name / Highest Level Played *

Player 5 - #/Name / Highest Level Played *

Player 6 - #/Name / Highest Level Played *

Player 7 - #/Name / Highest Level Played *

Player 8 - #/Name / Highest Level Played *

Player 9 - #/Name / Highest Level Played *

Player 10 - #/Name / Highest Level Played *

Player 11 - #/Name / Highest Level Played *

Player 12 - #/Name / Highest Level Played *

Player 13 - #/Name / Highest Level Played *

Player 14 - #/Name / Highest Level Played *

Player 15 - #/Name / Highest Level Played *

Player 16 - #/Name / Highest Level Played *

Player 17 - #/Name / Highest Level Played *

Player 18 - #/Name / Highest Level Played *

Comments & Addtional Info *

WAIVER OF LIABILITY
As Team Representative, I release Puck Cancer, Fox Valley Ice Arena and other event venues including tournament supporters, staff, officials and volunteers from any liabilities of any nature whatsoever for any loss, damage, expense or injury, including death which may be suffered, directly or indirectly by a team player, team coach, team official or team invitee if any arising in connection with participation in or attendance at the tournament. I am aware that photographs will be taken during Puck Cancer events and may be displayed on Puck Cancer Website and will be available for tournament participants.

Team Rep Name (First & Last) *

Date *

Submit