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NW Junior Salmonbellies Tryout Registration
TRYOUT REGISTRATION FORM
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* Indicates required question
Last Name
*
Your answer
First Name
*
Your answer
Player Cell #
*
Your answer
Home Phone #
Your answer
Player Email
*
Your answer
Adress
*
Your answer
City
*
Your answer
Province or State
*
Your answer
Postal or Zip Code
*
Your answer
Birth Date
*
MM
/
DD
/
YYYY
Weight (LBS)
*
Your answer
Height (Feet/Inches)
*
Your answer
Shot
*
Choose
Right
Left
Position
*
Choose
Offense
Defense
Goalie
Any Position
Last team/club you've played for(location/level)
*
Your answer
Level Trying out for Junior
*
Choose
Junior A
Junior B1
Junior B2
Emergency contact name (First and last)
*
Your answer
Emergency contact number
*
Your answer
Emergency contact email
*
Your answer
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