2013 Birmingham Rangers Fall Tryouts Registration Form
Spring 2025
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 & Times ($15 per skater)
*
March 20, 8:00 PM
March 21, 5:40 PM
March 22, 1:30 PM
Arena Location
Wallace Ice Arena / Cranbrook Schools
550 Lone Pine Road
Bloomfield Hills, MI 48304
Which team does your skater currently play for? (Please be specific in terms of age group, i.e. 2013 or 2014 and team label, e.g. Red, White, Gold, etc.)
*
If you have any questions, please leave them below or contact Jim Rice at (617) 549-9237 or at birminghamrangers2013@gmail.com
Submit
Should be Empty: