World Class Hockey

Registration & Information
Request Form

Player Information (Submit 1 form per player)

^Name:       ^{Date
of Birth:}
             (name as it appears on passport)

^Address: ^City: ^State/Prov: ^{Postal
Code:}

^Country:

^{Home Phone#:} ^{Parent
Work#:} ^Cell#:

^{Parents Name:} ^E-Mail:

^{2006-07 Team:}^Level: ^Position:

^Requested^{Jersey Number:} ⁽^{Select
3)}

^{Player Sizes:}

Tournament Information

^Tournament: ^Dates: ^{Age Level:}

	(names as they appear on passport)
^{Traveling Members:}

^{Comments / Questions:}

Note: Payments made by Visa or MasterCard will include a 3% surcharge.