Registration 11 U 2015 Tier 2 Gordie Lietz
PLAYER INFORMATION
First name
*
Last name
*
Date of birth
*
-
Month
-
Day
Year
Date
Height
Weight (lbs)
Citizenship
*
US
Canadian
Other
Preferred position
*
Forward
Defense
Either F or D
Goalie
Shoots
*
Right
Left
PRIOR TEAMS
2025-2026 Team
*
2025-2026 Head Coach
CONTACT INFORMATION
Home street address
*
City
*
State or Province
*
Parent contact
*
First Name
Last Name
Parent cell number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent email
*
example@example.com
I have lived in Michigan since 8/1/2022
*
Yes
No
ADDED INFORMATION
Do you play other sports?
Yes
No
Specify
If your player is selected to play for the team after tryouts, are you prepared to commit?
Yes
No
Just skating for extra time
Attending other tryouts
Are you planning on dual rostering in the Spring?
Yes
No
Other team name
Other information you want the head coach to know
Acknowledgement: by checking this box, I acknowledge that I am a current member of USA Hockey
*
Yes
Submit
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