2012 Bantam A Chelsea Chiefs Blue Fall 2025/26 Tryout Form
Tryout skate is $20. Goalies are free. Cash, Check to Chelsea Chiefs Blue 2012 or Venmo @Scott-Peterson-164
Player Name
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First Name
Last Name
Player Birthdate
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Month
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Day
Year
Date
Fall 2024/25 or Spring 2025 Team and Association
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If offered a spot on the 2012 Chiefs Blue Team, would you accept?
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Yes
No, just at tryouts to skate
Undecided
Waiting on results of other tryouts to make final decision
Parent #1 Name
*
First Name
Last Name
Tryout Attending - Cost $20, Goalies Free
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Tuesday, May 27th 6:00 - 7:00PM
Cannot attend - need special accommodation
Parent #1 Phone Number
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-
Area Code
Phone Number
Parent #1 E-mail
*
example@example.com
Parent #2 Name
First Name
Last Name
Parent #2 Phone Number
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Area Code
Phone Number
Parent #2 E-mail
example@example.com
City of residence
*
city
Player Grade & School for Fall 2025
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MAHA District 6 Resident - refer to map if unsure: https://www.maha.org/page/show/1204718-district-directors
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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
Date
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Month
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Day
Year
Date
Submit
Should be Empty: