Your Name (required)

Your Email (required)

Preferred Position

Secondary Position

Shoot Left or Right

Glove Hand for Goalies

Height

Weight
Pounds

Ideal Playing Weight

Date of Birth
Month: Day: Year:

Hometown Address
Street
City Province
Postal Code Country

Last Registered Team

Last Registered League

GM Name

GM Phone Number

GM Cell Phone Number

Players Email Address

Player's Cell Phone

Players Current Address
Street
City Province
Postal Code Country

Player Allergies

Player Medical Alerts or Conditions

Last Completed Grade Grade Average

ACT or SAT Score

Clearing House Number

Golf Shirt Size

Jacket Size

Preferred Stick pattern

Secondary Stick pattern

Preferred Number

Secondary Number

Hockey Idol

Favorite Food

Favorite Music

Favorite City

Hobbies / Interests

Father's Name

Father's Cell Phone

Father's Email

Father's Occupation

Mother's Name

Mother's Cell Phone

Mother's Email

Mother's Occupation

Parent you want us to contact

Reference Name #1

Reference #1 Phone Number

Reference Name #2

Reference #2 Phone Number

Emergency Contact Name #1

Emergency Contact #1 Phone Number

Emergency Contact Name #2

Emergency Contact #2 Phone Number

Tell us why a team should take you over other players

Tell us why you should be a member of our team

Please state what you want to achieve from playing junior hockey

Please state life long goal

Please state the best hockey advice given to you

What Are the top 4 schools you are interested in attending?

What 3 team s would you like to play for in the future?

Additional Comments you would like to add