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PLAYER INFORMATION
Please fill out this section to let us know about your child
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* Indicates required question
What is your child's first name?
*
Your answer
What is your child's last name?
*
Your answer
When is your child's birthday?
*
Please enter Month, Date and Year (i.e. February 16, 2007)
Your answer
Jersey Number: Choice # 1
*
Your answer
Jersey Number: Choice # 2
*
Your answer
Jersey Number: Choice # 3
*
Your answer
What is your child's favourite song?
*
Your answer
Does your child have any allergies or medical conditions that the coaching staff should be aware of?
*
There will be an additional medical form for all players to fill out as required by CRHA
Your answer
PARENT/GUARDIAN INFORMATION
Parents/Guardians Names
*
Your answer
Parent/Guardians primary point of contact
*
Please provide the phone numbers that you can best be reached at. Please identify a name with each number (i.e Sarah 999 999 9999 & Mike 999 999 9999)
Your answer
Parent/Guardians secondary point of contact
*
Please provide additional phone numbers that you can best be reached at. Please identify a name with each number (i.e Sarah 999 999 9999 & Mike 999 999 9999). If the numbers are the same as above please indicate as "same as above".
Your answer
Parent/Guardians emails
*
If the email is not obvious please identify a name (i.e. Pat -
rinkrat@hotmail.com
)
Your answer
Players Home Address
*
Your answer
Emergency Contact
*
Please provide a name, phone number and relationship to the player (i.e. Joe - 999 999 9999 - neighbour)
Your answer
As a parent/guardian what are your goals for your child this season as a hockey player?
*
Your answer
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