MAIN CAMP APPLICATION
Please fill out this player application and your acceptance will be confirmed by a staff member as soon as possible. For additional questions or inquires, please contact Matt Powers at mpowers@noreasterjrhockey.com.
PLAYER NAME
*
First Name
Last Name
DATE OF BIRTH
*
CURRENT GPA:
*
WHAT PROGRAM AND TEAM DO YOU CURRENTLY PLAY FOR?
*
WHAT IS THE LEVEL OF PLAY ON YOUR CURRENT TEAM?
*
e.g., AAA, TIER 1, VARSITY
WHAT POSITION DO YOU PLAY?
*
FORWARD
DEFENSE
GOALIE
OTHER
PARENT OR GUARDIAN NAME
*
First Name
Last Name
PARENT / GUARDIAN EMAIL
*
example@example.com
PARENT / GUARDIAN PHONE
*
Please enter a valid phone number.
WHAT ARE YOUR FUTURE GOALS IN HOCKEY?
*
IS THERE ANYTHING ELSE YOU WOULD LIKE TO SHARE WITH US?
Submit
Should be Empty: