2017 Rochester Rattlers - Black
Interest Form
Athlete's Name
First Name
Last Name
Parent/Guardian Name
First Name
Last Name
Athlete's Birth Date
/
Month
/
Day
Year
Date
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Parent Email Address
City of Residence
Position Preference (1)
Please Select
Forward
Defense
Goalie
Position Preference (2)
Please Select
Forward
Defense
Goalie
Shoot/Catch
Please Select
Right
Left
Current/Previous Team
Tryouts To Attend
March 16
March 18
Both Skates
Additional Comments
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