2010 OTHC (Over 35) Winter/Spring Season Registration
January 17, 2010 – May 23, 2010
12 Weeks plus Playoffs
Draft Day: January 17, 2010 – 6:45pm
All Games will be played at the Revolution Ice Centre

The OTHC (Old Timers Hockey Club) will operate a non-contact recreation hockey league at the Revolution Ice Centre for players 35 years of age and older. This league is being formed as a supplemental division/league to the presently successful PBHL Adult Hockey League. If you are seeking a rewarding experience and some extra ice time, this league lets you enjoy the game at an extremely fun and exciting level.

League Includes:
12 Regular Season Games / All teams make Playoffs / Referees / Scorekeepers
Cost:
$210 / Player (Due by Week 3 – February 21, 2010)

All Players Must:
Complete Application Below by 1/24/10
Register with USA Hockey – www.usahockey.com by 1/31/10
Pay Full Amount of $210 by 2/21/10
Players will not be allowed on the ice if above criteria is not met
(***Please do not detach – Please hand in entire piece of paper***)

Name: ____________________________________ Age: ___________________

Address: ___________________________________ DOB: ___________________

City: ______________________________________ State: _________ Zip: _______________

Email: ________________________________________________________________________

Team Name: ___________________________________________________________________

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***FOR OFFICE USE ONLY***

Amount Paid __________ Date __________ Approved by __________ USA Hockey Reg. _____