Powered by TEAM REGISTRATION FORM I, ………………………………………………………, Team Captain of …………………………………………….. hereby register my TEAM to participate in the 4th Indoor Pond Hockey Classic at ijsbaan Ruggeveld in Antwerp (Deurne). I pledge we will play in the true IPHC Fair-Play Spirit! TEAM NAME ADDRESS CITY COUNTRY e-mail Website Social Media The following players will participate and I declare that all players have insurance (RBIHF or otherwise). NAME T-Shirt Size Amount 75€/pp 1. Goalie: 2. Player: 3. Player: 4. Player: 5. Player: 6. Player: 7. Player: 8. Player: Total: Due to popular request, you now also have the possibility to order catering for accompanying persons (BBQ, lunches & snacks). NAME Adult 40€/pp – Child 30€/pp 1. Non-player: 2. Non-player: 3. Non-player: 4. Non-player: 5. Non-player: 6. Non-player: www.facebook.com/IndoorPondHockeyClassic www.phantoms.be - www.hockey- community.com
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TEAM REGISTRATION FORMI, ………………………………………………………, Team Captain of ……………………………………………..hereby register my TEAM to participate in the 4th Indoor Pond Hockey Classic at ijsbaan Ruggeveld in Antwerp (Deurne). I pledge we will play in the true IPHC Fair-Play Spirit!
TEAM NAMEADDRESSCITYCOUNTRYe-mailWebsiteSocial Media
The following players will participate and I declare that all players have insurance (RBIHF or otherwise).
Complete & return to: [email protected] Pay the amount due via the following bank account: Antwerp Phantoms - Ruggeveldlaan 488 - 2100 Deurne - TVA: 0430.619.721
BNPPARISBASFORTIS – IBAN BE29 0014 9785 1364 - BIC: GEBABEBBDon't forget to mention ‘Pond Hockey - Team Name’ and ‘N° of participants’
Complete & return to: [email protected] Pay the amount due via the following bank account:
BNPPARISBASFORTIS – IBAN BE29 0014 9785 1364 - BIC: GEBABEBB Don't forget to mention ‘Hoodies’ & ‘your Team Name’ and ‘N° of
participants’
*For this year’s edition we opted for the vintage colors of the defunct Vancouver Millionaires for the official T-shirt and Hoodie of the Indoor Pond Hockey Classic