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Online Registrations

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Player Registration Form for 2012-2013 Season Tryouts

All fields marked with a * are required:
Tell us about yourself:
Players First Name*
Players Last Name*
Age*
Birthdate dd/mm/yyyy*
What position do you play?
Tell Us About Your Hockey History

Include your last team and Coach name
Medical Needs/Conditions?
Player Phone #
Player Email Address
Player Cell Phone
Player Height*
Player Weight*
Parent/Guaurdian Information:
Parent/Guardians First Name*
Parent/Guardians Last Name*
Street Address*
Mailing Address
City
Province
Postal Code
Day Time Phone
Evening Phone
Registration
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