Form

Form
2015 Renegades Tryout Registration
Player Name*

First NameLast Name
Birth Date*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Position*

ForwardDefenseForward or DefenseGoalie
Shoots*

RightLeft
Previous Fall Team*
Which Tryouts Will You Attend*

March 18th 5:45 PMMarch 20th 5:15 PMMarch 21st 6:30 PM
Are you willing to accept a spot on the team if offered?*

YesNot Sure YetOnly Attending to Skate
Parent Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Questions or Notes
Should be Empty:

2015 Renegades Tryout Registration