HOUSE LEAGUE- Request to Travel (Belle River District Minor Hockey Association)

Coaches: Please complete this form in detail Request to travel MUST be on BLACK OUT weekends and not interfer with regular HL games.

Team ^*

Required

Head Coach^*

Required

Head Coach Email^*

Required

Did you verify this is a BLACK OUT weekend?

YesNo

Do you have an OFFICAL APPROVED ROSTER?^*

YesNo

Required

If NO, please contact Ron Gallant [email protected]

Complete all boxes or skip to Exhibition

Tournament Name

Tournament Start Date

Tournament End Date

Tournament Location

Sanction # / Tour ID #

These are listed with tournament info, generally a 5 digit number

Complete all boxes

Opponent

List Association, Division and Team

Location

List Arena

Opponent Contact

Name and Email

Exhibition Date & Game time