Travel > 2016-2017 > Midget B > Player Information Form (Cambridge roadrunners Girls' Hockey Association)

Player Information Form, Midget B, 2016-2017, Travel (Cambridge roadrunners Girls' Hockey Association)

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^*

Required

First Name^*

Required

E-mail Address^*

Required

Example: [email protected]

Cell Phone Number^*

Required

Example: ###-###-####

Home Phone Number

Example: ###-###-####

Hometown^*

Required

Date of Birth^*

Required

dd/mm/yyyy

Position^*

Required

Shoots^*

Required

Last Year's Team^*

Required

Last Year's Divsion^*

Required

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^*

Required

Emergency Contact Phone Number^*

Required

Example: ###-###-####

Emergency Contact Home Phone

Example: ###-###-####

Player Information Form, Midget B, 2016-2017, Travel (Cambridge roadrunners Girls' Hockey Association)

WRGHA

Team Websites

Player's Personal Information

Parent Information

Emergency Contact Info

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