Field Hockey Championship
Declaration of Intent
2006 

Return one copy of this form to the Championship Director and one copy to the Executive Director by October 16, 2006
The declaration can be sent by fax or by mail.

Field Hockey Committee Chairperson

Executive Director

Bridget LaNoir 
Rensselaer
110 8th Street
Troy, NY 12180
518-276- 8623 (W)
518-276-8997 (F)
lanoib2@rpi.edu

Bern Macca-Interim
Utica College
1600 Burrstone Rd
Utica, NY 13502
315-792-3182 (P)
315-792-3211 (F)
bmacca@utica.edu

1.

Name of Member School  ______________________________________ ___

 (Please Check only one)       WILL _________         WILL NOT  ____

compete in the 2006 NYSWCAA FIELD HOCKEY Championship.     

2.

Our College or University 

 (Please Check only one)       WILL _________         WILL NOT  ____

host the 2006 NYSWCAA FIELD HOCKEY Championships if we are the highest seed. 

3.

 We have a School Policy that if our team is below .500 we will NOT participate in this tournament.     YES __________    NO __________

* As part of selection criteria - teams need to be within 3 games of .500 i.e 7-10 or 6-9 in order to participate

4.

Entry Fee of $225.00 is due once you are selected to participate. A $100.00 fine will be imposed for late declarations. If your school decides to withdraw from the tournament, it must be done before "Selection and Seeding" or the penalty will be loss of entry fee and eligibility for the following year's championship.

5.

Head  Coach Name ________________Office Phone  _______________________

6.

Head Coach - Fax ______________________________________

7.

Head Coach - E-mail ____________________________________

 

_______________________________________________

NAME  OF ATHLETIC DIRECTOR  OR VOTING REPRESENTATIVE

______________________________________________________

SIGNATURE OF ATHLETIC DIRECTOR OR VOTING REPRESENTATIVE

______  Yes, I want to be notified if our team has been selected. 

My Phone number is ________________________

DATE: