2012 Canton Victory Honda Squirt AA Fall Tryouts Form

2012 Canton Victory Honda Squirt AA Fall/Winter 2022-2023 Tryout Registration

Fill out the form carefully for registration
Players at the 10U level should be 2012 or 2013 birth years.

Head Coach: Kal Safah
Coach Contact: ksafah@gmail.com

Tryout Dates:

Monday, May 16th @ 6:00 PM to 7:20 PM
Monday, May 23rd @ 6:00 PM to 7:20PM

Cost will be $15/skate - Goalies are Free
CASH ONLY - Paid at check in

All skates will be at:

Arctic Edge of Canton
46615 Michigan Ave, Canton, MI, 48188
Player Name

First NameLast Name
Birth Date

MonthDayYear
Position

ForwardDefenseForward or DefenseGoalie
Shoots/Catches

LeftRight
Players Previous Team (2021-2022 Season)
Players Previous Team (2022 Spring Season)
Parent Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail
example@example.com
Phone Number
Format: (000) 000-0000.
What Tryouts will you attend? (Check all that apply)

Monday, May 16th @ 6:00 PM to 7:20 PMMonday, May 23rd @ 6:00 PM to 7:20 PM
Are you willing to accept if offered a spot on the team?

YesNo Thanks, I’m only here for the skateNot sure yet
I understand that I will have to pay $15 (Cash Only) upon arrival for each tryout *GOALIES Excluded*

Yes
Additional Comments
Should be Empty:

2012 Canton Victory Honda Squirt AA Fall/Winter 2022-2023 Tryout Registration