Tryout Registration Form (Chatham-Kent Cyclones AAA Hockey Association)
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Tryout Registration Form
Please enter all pertinent registration information below:
Player's First Name
*
Required
Player's Last Name
*
Required
Birth Year
*
Select One...
2015
2014
2013
2012
2011
2010
2009
Required
Home Centre
*
Select One...
Dresden Minor Hockey
Kent Minor Hockey
South Kent Minor Hockey
Southwest Bullets Minor Hockey
Wallaceburg Minor Hockey
Other
Required
Division
*
Select One...
U10 - 2015
U11 - 2014
U12 - 2013
U13 - 2012
U14 - 2011
U15 - 2010
U16 - 2009
Required
Position
*
Centre
Right Wing
Left Wing
Defense
Goaltender
Check All That Apply
Which hand does your child shoot?
*
Left
Right
Check All That Apply
Parent or Legal Guardian's Name
*
Required
Contact #
*
Required
Example: ###-###-####
Email Address
*
Required
Example:
[email protected]
Players Current Home Address
*
Required
How Many Years has the Player Lived at the Current Address
*
Required
Please acknowledge that all the above noted player information is accurate prior to submission.
I agree that all information stated above is accurate
*
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