Monday September 13, 2010
                                             Monday September 20, 2010
                                7:00pm to 9:00pm  $150. due at registration time.

                                                       For those of you who would like to pre-register
                                                               please fill out the following form.

                                              League Registration: If you are registering for both leagues 
                                                                     please fill out two forms.

          50 & Over  :       40 & Over  : 

          Name :     
          Address : 
          E-Mail :     
          Telephone #    Telephone #     Telephone # 
          Date of Birth M :  Day :  Year :  Shirt Size : 

                                     

          Your not done yet you must send in your registration money to:
          Jon Napolitan   
          1017 Garfield St.
          Port Huron, MI. 48060

          For 50 & over League make check avalible to : Golden Eagles 
          For 40 & over League make check avalible to : BWSMHL

          Also all players must have their USA Forms BEFORE draft day!