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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).

NAME T-Shirt Size Amount 75€/pp1. 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:7. Non-player:

Total:

Complete & return to: indoorpondhockeyclassic@gmail.com 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’

www.facebook.com/IndoorPondHockeyClassic www.phantoms.be - www.hockey-community.com

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OPTINAL HOODIE* ORDER FORM

NAME Hoodie Size

Amount €

1. Goalie: 45

2. Player:

3. Player:

4. Player:

5. Player:

6. Player:

7. Player:

Total:

Complete & return to: indoorpondhockeyclassic@gmail.com 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

www.facebook.com/IndoorPondHockeyClassic www.phantoms.be - www.hockey-community.com