| 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 ______________________________ | ________ | ___________________________ | _________ | |||||
| GOALIE: | ||||||||
| 1 ______________________________ | ________ | ___________________________ | _________ | |||||
| ONE PLAYER PER CLUB WILL BE CHOSEN OUT OF THE THREE NOMINATED | ||||||||
| PLEASE NUMBER THE PLAYERS IN PREFERENCE OF POSITION BEING NOMINATED | ||||||||
| BALLOTS ARE TO BE FAXED TO 610-539-1622 ASAP OR EMAILED TO HOCKY@EROLS.COM | ||||||||
| DEADLINE FOR BALLOTS - FEB. 1. FAILURE TO RETURN BALLOT COULD RESULT | ||||||||
| IN YOUR CLUB NOT BEING REPRESENTED | ||||||||