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Player Information

Name Student ID

Birth Date (MM/DD/YYY)

Adress City State Zip

Phone #1 Phone #2

E-mail Address

Parents Name(s)

Parents E-Mail

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Hockey Information

Position __Position__ Forward Defense Goalie Shot/Catch: Left Right

Height Weight

Jersey Size __Jersey Size__ Small Medium Large X-Large XX-Large XXX-Large Warm-up Size __Jacket Size__ Small Medium Large X-Large XX-Large __Pants Size__ Small Medium Large X-Large XX-Large

Previous Team Highest Level of Play __Playing Level__ High School AA Club AAA Club Junior B Junior A ACHA College Div 3 College Div 1 College Other

Skaters:
Games Played Goals Assists PIM

Goaltenders:
Games Played Minutes Wins Losses Shutouts GAA SV%

What is your level of interest? __Playing Interestl__ Somewhat Interested Very Interested Accepted and Interested Accepted and Attending

Additional Infomation