KVHA - 2012 Bantam A RAIDERS Fall '25 Tryout Registration

KVHA - 2012 Bantam A RAIDERS Fall '25 Tryout Registration

Please fill in the form below.
Player Name*

First NameLast Name
Player Birth Date*

MonthDayYear
What team did your player play on last regular season?
ForwardDefenseForward or DefenseGoalie
RightLeft
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Parent Name*

First NameLast Name
Phone Number*

Area CodePhone Number
E-mail*
Yes, sent funds via VenmoNo
Any questions or additional information
Should be Empty: