EDZA West U15 AAA Western Phantoms Tryout Registration

Player Name*

First NameLast Name

Birth Date*

MonthDayYear

Address*

Street Address

Street Address Line 2

CityProvince

Postal Code

Position*

ForwardDefenseForward or DefenseGoalie

Shoot*

RightLeft

Event(s) Attending:

Skill Developement Camp - Cost $100 *space is limitedTryout - Cost $125Both - Cost $225

What team did you play on last season?

If attanding Try Out would you be willing to accept if offered a spot on this team?*

YesNo thanks, I'm only here for the ice timeNot sure yet

Parent/Guardian #1*

First NameLast Name

Phone Number*

Area CodePhone Number

E-mail*

Parent/Guardian #2

First NameLast Name

Phone Number

Area CodePhone Number

Email

example@example.com

Payment can be made by E Transfer to: AAAWesternPhantoms@gmail.com (please use Hockey as your password, if prompted) Please include players name in message line of e-transfer. Registration must be paid prior to attending skill development camp/tryouts.

Skill Development Camp Schedule:

September 2nd 3:00 - 4:00 AYR Motor Centre Woodstock

5:30 - 6:30 AYR Motor Centre Woodstock

September 3rd 10:00-11:00 Grant Harvey

12:30-1:30 Grant Harvey

Try Out Schedule:

September 9th 3:00-4:00 & 5:30-6:30 AYR Woodstock

September 10th 10:00-11:00 & 12:30-1:30 Grant Harvey

September 16th 1:45-2:45 & 4:45-5:45 AYR Woodstock

*Parental Consent & Liability Waiver

I consent for the above stated player to participate in the U15 AAA Western Phantoms tryouts and verify that the player has no medical problems and is in good physical health. The EDZA West Phantoms, AYR Motor Centre or the Willie O'Ree will not be held responsible for any accidents, medical, dental or insurance claims resulting from injury and release all mentioned parties from claim.

*Parental Consent

I Agree to the terms and conditions

EDZA West U15 TNT AAA Western Phantoms Skill Development Camp/Tryout Registration