2012 PeeWee AA Chelsea Chiefs Blue Fall 2024/25 Tryout Form
Each tryout skate is $20. Goalies are free. Cash, Zelle (734) 673-1135 or Venmo @Elizabeth-Hughes-81
Player Name
*
First Name
Last Name
Player Birthdate
*
-
Month
-
Day
Year
Date
Fall 2023/24 or Spring 2024 Team and Association
*
Preferred Player Position (select all that apply)
*
Forward
Defense
Goalie (Skates Free in Tryouts)
If offered a spot on the 2012 Chiefs Blue Team, would you accept?
*
Yes
No, just at tryouts to skate
Undecided
Waiting on results of other tryouts to make final decision
Tryout(s) Attending - Cost $20, Goalies Free
*
Tuesday, May 21st 7:00PM
Thursday, May 23rd 7:00PM
Cannot attend - need special accommodation
Parent #1 Name
*
First Name
Last Name
Parent #1 Phone Number
*
-
Area Code
Phone Number
Parent #1 E-mail
*
example@example.com
Parent #2 Name
First Name
Last Name
Parent #2 Phone Number
-
Area Code
Phone Number
Parent #2 E-mail
example@example.com
City of residence
*
city
Player Grade & School for Fall 2024
*
MAHA District 6 Resident - refer to map if unsure: https://www.maha.org/page/show/1204718-district-directors
*
Yes
No
Not in District 6, but Arctic Coliseum is closest rink to you
Any additional information you would like to share or questions you have for us
Submit
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