Kenai River Brown Bear Prospective Player Questionnaire

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Kenai River Brown Bear Prospective Player Questionnaire

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* Indicates required question

First Name *

Your answer

Last Name *

Your answer

Date of Birth *

MM

/

DD

/

YYYY

Player Cell *

Your answer

Player Email Address *

Your answer

Parent Name *

Your answer

Parent Phone Number *

Your answer

Parent Email Address *

Your answer

Position *

Center

Left Wing

Right Wing

Left Defense

Right Defense

Goalie

Shot Hand *

Left

Right

Height *

Your answer

Weight *

Your answer

Current Team *

Your answer

Current Coaches Phone Number *

Your answer

Do you have an advisor? *

Yes

No

Advisor Name

Your answer

Advisor Phone Number

Your answer

What else should we know about you?

Your answer

Submit

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