Fall 2012-13
Recruitment Form
Player Information
Name:
Student ID:
Birth Date:
(mmddyyyy)
Address:
City:
Zip:
Home Phone#:
Cell
Phone#:
E-Mail Address:
Parents
Name(s):
Parents
E-Mail:
Hockey Information
Position:
Shot/Catch:
Left
Right
Height:
Weight:
Jersey Size:
Warm-Up Size:
Previous Team:
Highest
Level of Play:
What is your Level of
Interest?