CVHA 2013 SQUIRT AA 10U TRAVEL

CVHA 2013 SQUIRT AA 10U TRAVEL

Head Coach: Jim Restum Email: JMRestum@gmail.com
Tryout date: Wednesday May 17th 7:30-9pm

Cost per tryout date is $20.00 to be paid in CASH at date of tryout.
Name*

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Birth Date*

MonthDayYear
Position*
RightLeft
Which Organization, team & level did you play in the last 3 seasons?*
YesNo thanks, I'm only here for the skateNot sure yet
Parent Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
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