2013 Birmingham Rangers Fall Tryouts Registration Form
Spring 2024
Player Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Parent/Guardian E-Mail
*
example@example.com
Back
Next
Are you a USA Hockey District 4 resident?
*
Yes
No
Tryout Date, Time & Location ($20 per skater
*
May 18, 2024, 1:30-2:50 PM, Wallace Ice Arena (Cranbrook School)
Arena Location
Wallace Ice Arena: 550 Lone Pine Rd., West Bloomfield, MI 48304
If you have any questions, please leave them below or contact Jim Rice at (617) 549-9237 or at birminghamrangers2013@gmail.com
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