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Kenai River Brown Bears Prospective Player Questionnaire
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Date of Birth
*
MM/DD/YYYY
MM
/
DD
/
YYYY
Player Cell
*
xxx-xxx-xxxx
Your answer
Player Email Address
*
Your answer
Parent Name
*
First and Last Name
Your answer
Parent Phone Number
*
xxx-xxx-xxxx
Your answer
Parent Email Address
*
Your answer
Shot
*
Choose
R
L
Position
*
Choose
Defense
Center
Right Wing
Left Wing
Goaltender
Height
*
Choose
5-0
5-1
5-2
5-3
5-4
5-5
5-6
5-7
5-8
5-9
5-10
5-11
6-0
6-1
6-2
6-3
6-4
6-5
6-6
6-7
Weight
*
Choose
130
135
140
145
150
155
160
165
170
175
180
185
190
195
200
205
210
215
220
225
230
235
240
2021-2022 Team (Current Team)
*
Your answer
2021-2022 Coach Name
*
Your answer
2021-2022 Coach Phone Number
*
Your answer
GP
*
Games Played
Your answer
G / W
*
Goals or Wins (Goaltender)
Your answer
A / GAA
*
Assists / Goals Against Average (Goaltender)
Your answer
P / SV%
*
Total Points / Save Percentage (Goaltender)
Your answer
Do you have an advisor?
*
Yes
No
Advisor Name
Your answer
Advisor Phone
Your answer
What else should we know about you?
Your answer
Submit
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