ࡱ>  Root Entry( JrG@ MatOST`#GGMMMN0j   !"#$%&'()*,NDuSrrTpj  V=/8dtT DAYTONA PACERS HOCKEY CLUB 100 SILVER BEACH #128 DAYTONA BEACH, FL 32118 Ph 904-239-9531 Fax 877-278-3376 Try-out Registration Form Dear Player, The Daytona Pacers Will be holding a try out camp on June 2-4th at Holly Dell Arena in Sewell New Jersey And on June 10- 11th at Honeybaked Oak Park Arena, in Oak Park, Mi. The Present time we have openings for 8 forwards, 5 defense, and1 or 2 goalies. The try-out is open to the first 80 players to register 8 goalies, 24 defenseman, and 48 forwards. Please fill out the following and return it with payment of $150.00to the Daytona Pacers Hockey Club: -------------------------------------------------------------------------------------- Name_________________D.O.B.____________________ Social Security #____________________ Position_____Height_________Weight_______ Last Years Team_____________________________________ Goals____Assists____ Points_____ Penalty Min________ Goalies : GAA_____Save %____Wins____Losses___Ties_____ Hospital Insurance Company_______________________ Policy #_________________________________ Please notify me To verify my spot at camp at ( ) ___________ Signed___________________________________________ Mprmysmiyc]y]W]y8 8 ( 4Mproqsqaaaq[! !')TV57bd   Arialh prV=/8V=/8d ( JrMicrosoft Works MSWorksWPDoc9qCompObj+U