DVHL ALL-STAR NOMINATION BALLOT
(PRINT CLEARLY)
CLUB NAME:  ______________________________________________________					Bantam	_________	AA _____	A _____
					MIDGET - 16	_________	AA _____	A _____
HEAD COACH:  ______________________________________________________					PHONE: (H) ________________________
					CELL:  ____________________________
PLAYERS NAME		POSITION		AREA CODE & PHONE #				D.O.B.
OFFENSE:
1 ______________________________		________		___________________________				_________
DEFENSE:
1 ______________________________		________		___________________________				_________
DO NOT NOMINATE GOALIES
IF ANY ORGANIZATION HAS A "AA" TEAM, WE WILL NOT TAKE PLAYERS FROM THE "A" TEAM
ALL PLAYER INFORMATION SHOULD BE CORRECT AND UP TO DATE
DUE TO ROSTER RESTRICTIONS, NOT ALL NOMINEES ARE SELECTED.
BALLOTS ARE TO BE FAXED TO 717-747-0702 ASAP
DEADLINE FOR BALLOTS - FEB. 1ST.  FAILURE TO RETURN BALLOT COULD RESULT
IN YOUR CLUB NOT BEING REPRESENTED