Player Name
*
First Name
Last Name
Parent Name
*
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Birth Date
*
-
Month
-
Day
Year
Date
Gender
*
Please Select
Male
Female
N/A
Position
Forward
Defense
Goalie
Height
*
Weight
Hand
*
Please Select
Right
Left
Jersey number
*
Jersey size
*
Current team
I agree to share in social medias my player information, photos and videos. Also I agree to receive promotional offer about tournaments, scrimmages and practices.
*
Please Select
Yes
No
I authorize Rivendell Lions to release my child name/photo in social medias and etc
Yes
No
Rivendell Lions Tryouts
*
prev
next
( X )
Rivendell Lions Tryout
$
30.00
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
Should be Empty: