THAT DAM TOURNEY 2011

MARCH 25 THRU 27, 2011  (may have Friday night game)

BEAVER DAM FAMILY CENTER

 RELEASE FORM

By signing this entry form, the team manager, on behalf of her team, releases the sponsor of That ADam@ Tournament, it=s officials, arena management, and all concerned with the tournament from any liability for any injury, accident, or loss which may be incurred by any player or team official while participating in this tournament or while traveling to or from said tournament.

Signature of Team Representative:                                                                                 

Print Name:                                                                                                                           

Date Signed:                                                                                                            

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For more information/updates please contact  

 Wendy Braun @ 920.887.7079 ;

 E-mail bvrdame@sbcglobal.net  

Please mail your checks or money order to:

 Madison Freeze Women’s Hockey

225 Haskell st.

Beaver Dam, WI  53916

Thank you!