Belle Tire 9U Squirt A

Belle Tire Hockey

Squirt A "Putek"

Tryout Registration Form

(age 9 and under)

Home ICE: Taylor Sportsplex - 13333 Telegraph Rd, Taylor, MI 48180
Athlete Information
Player Name*

First NameLast Name
Date of Birth:*

MonthDayYear
Date
Parent / Guardian - Contact Name:*

First NameLast Name
Parent / Guardian Contact Cell Phone:*
E-mail*
example@example.com
24/25 Team Name*
Current District (if unsure reply with city of residence)*
Position:*

ForwardDefenseForward & DefenseGoalie
Interest in Belle Tire Team:*

Fall HomeExtra IceUndecided
Tryouts Plan Attending:*

May 20th 6:00-6:50 PM at Southgate Ice ArenaMay 23rd 5:45-7:05 PM at Southgate Ice Arena
Questions or Comments:
After completing this form, please click Submit Form. You will receive a confirmation email. If you do not receive the email within a few minutes, please check your spam; otherwise, please contact us at cputek12@gmail.com
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