Which Group:	Group A Group B
Current level of play:	Novice AA Novice A Novice BB Novice B Novice C Novice Houseleague Atom AA Atom A Atom BB Atom B Atom C Atom Houseleague Peewee AA Peewee A Peewee BB Peewee B Peewee C Peewee Houseleague Bantam AA Bantam A Bantam BB Bantam B Bantam C Bantam Houseleague Midget AA Midget A Midget BB Midget B Midget C Midget Houseleage Intermediate AA Intermediate A Intermediate BB Intermediate B Intermediate C Intermediate Houseleague Senior AA Senior A Senior Rec NWHL
Current Sport Association:
Position:	Goalie Defence Left Wing Centre Right Wing
Current Height: (feet/inches)
Year You Started Playing Hockey:
Shoots: (left/right)
Please ensure this is correct as correspondence will be sent to this account. This should also be an account that is checked daily
*(Family) Email Address:
*Athlete's Name (First & Last):
*Date of Birth: (MM/DD/YYYY)
Current Age:
*Mailing Address (Street):
*City/Town:
*Province/State:
*Postal/Zip Code:
*Country:
Parents Names:
*Home Phone: (including area code)
Alternate Phone: (including area code)
Emergency Contact:
Emergency Phone: (including area code)
Comments:
Cost Per Player	$139.00
Family Discount	$20
Total Cost:
	Sorry no refunds