FEMALE HOCKEY SHOWCASE, LAS VEGAS, NEVADA
On-Line Registration Form

Please complete this form then click on the button at the bottom of this page to forward the information.

Please complete all sections.

Player's Name:

Date of Birth (yyyy/mm/dd) :

Height (feet & inches):

Weight (lbs):

Position: Center Wing Defence Goal

Shoots: Left   Right

Parents' Names:

Address:

City:

State: Zip Code:

e-mail:

Phone Number:

Alternate Phone Number

Last Year's Hockey Team and League:

USA Hockey Number:

Insurance Company and Policy #:

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