Registration Form
Players Name
First Name
Last Name
Players DOB
-
Month
-
Day
Year
Date
2023/2024 Fall Team
Position(s)
Forward
Defense
Forward or Defense
Goalie
Shoots:
Right
Left
Tryout Dates Planning to Attend
Wednesday, April 10 @ 7:30 PM @ Dearborn Ice Skating Center (DISC)
Thursday, April 11 @ 7:30 PM @ Dearborn Ice Skating Center (DISC) *INVITE ONLY
Parent/Guardian 1
First Name
Last Name
Parent/Guardian 2
First Name
Last Name
Primary Email Address
Primary Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
If offered a rostered spot with BT, would you commit?
Yes
No, conditioning skate only
Undetermined
Comments
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