First Name:        
Last Name:
Date of Birth:
Address:
City:
State:
ZIP:
Home Phone:
Daytime Phone:
Cell:
Email address:

Please indicate at least one committee you would like to join:

Membership - Distribute membership information to new members.  Solicit new membership.
Publicity/Marketing - Provide information to the local ice rinks and news media about the Trailblazers Organization and events.
Fundraising  - Arrange fund-raising activities the help supplement the Trailblazer Organization.
Winter Warm-Up Tournament - organize and coordinate Winter Warm-Up Tournament.