2010 Raiders - Spring 24 Season
Player Name
*
First Name
Middle Name
Last Name
Birth Date (xx/xx/xxxx)
*
/
Month
/
Day
Year
Date
Street Address
City
Parent Name
*
First Name
Last Name
Phone Number
*
Format: (000) 000-0000.
Email Address - example@example.com
*
Position
Forward
Defense
Goalie
Shoots
Left
Right
Current Team or Last Team Played On
What is your intent of attending 2010 Raiders tryouts
To commit if offered a spot
Attending for ice time only
Undecided on commitment
Do you reside within MAHA District 4
*
Yes
No
Which dates are you attending?
*
3/20 8:45pm Brighton
3/23 10:00am Hartland
Questions or comments?
Submit
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