Registration for Tryouts, Sept 2017 (Plattsville & District Minor Hockey)
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Registration for Tryouts, Sept 2017
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Registration for Tryouts, Sept 2017
Please complete and submit the following form in order to attend PDMHA tryouts. Payment must be received at the door before players will be allowed to participate. Players coming from A/AA centres must bring the required paperwork with them.
Player's Information
Player's Name:
*
Required
Date of Birth:
*
Required
Division Trying Out for:
*
Novice (2010, 2009)
Atom (2008, 2007)
Peewee (2006, 2005)
Bantam (2004, 2003)
Midget (2002, 2001, 2000)
Required
Position:
*
Forward/Defense
Goalie
Required
Home Centre:
*
Registered Player with Plattsville & District Minor Hockey
Non-Resident Player, from an A, AA, or AAA Centre
Required
Team played for in 2016/17 (include centre, division and level; e.g. Plattsville Atom Rep):
*
Required
List any medical conditions:
Contact Infomation
Parent/Guardian Name:
*
Required
Email Address:
*
Required
Example:
[email protected]
Home/Cell Phone:
Example: ###-###-####
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