South Lyon Platinum Prep Team 2022-2023 Fall Team Interest Form

South Lyon Platinum Prep Team 2022-2023 Fall Team Interest Form

Please fill in the form below.
Player Name*

First NameLast Name
Birth Date*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Position*

ForwardDefenseForward or DefenseGoalie
Shoot/Catch*

RightLeft
What team did you play on last season?
Are you willing to accept if offered a spot on this team?*

YesNot sure yet
Parent Name*

First NameLast Name
Phone Number*
E-mail*
example@example.com
Questions or comments
Should be Empty: