Player Information Form, Bantam BB, 2016-2017, Travel (Cambridge roadrunners Girls' Hockey Association)
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Player Information Form
Please complete and submit the below form. It will be forwarded to your team's coach and/or manager.
Player's Personal Information
Last Name
*
First Name
*
E-mail Address
*
Example:
[email protected]
Cell Phone Number
*
Example: ###-###-####
Home Phone Number
Example: ###-###-####
Hometown
*
Date of Birth
*
dd/mm/yyyy
Position
*
Select One...
Center
Left Wing
Right Wing
Defence
Goalie
Shoots
*
Select One...
Left
Right
Last Year's Team
*
Last Year's Divsion
*
This would be AA, A, BB, etc.
Parent Information
Mom's Name
Mom's E-Mail Address
Example:
[email protected]
Mom's Cell Phone Number
Example: ###-###-####
Dad's Name
Dad's E-mail address
Example:
[email protected]
Dad's Cell Phone Number
Example: ###-###-####
Emergency Contact Info
This must be someone other than Mom or Dad.
Emergency Contact Name
*
Emergency Contact Phone Number
*
Example: ###-###-####
Emergency Contact Home Phone
Example: ###-###-####
Human Validation
Check The Box
*
Human Validation Failed, Please Try Again
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Sat Apr 17, 2021
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16-17 Travel - Bantam BB
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