2019 Plymouth Phantoms Registration
Tuesday 3/24, 6:30-7:20PM and Wednesday 3/25, 5:30-6:20PM
Plymouth Cultural Center (525 Farmer Street, Plymouth, MI) | $20/Skater - Goalies Skate Free
Head Coach: Mark Silverman
Please email 2019plymouthphantoms@gmail.com with any questions
Parent Name
*
First Name
Last Name
Parent Cell Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Player's Name
*
First Name
Last Name
Player's Birthday
*
-
Month
-
Day
Year
Date
Position Preference
*
Forward
Defense
No Preference (Skater)
Goalie
Player's Shot
*
Left
Right
Player's Previous Team for 2025/2026 Season
*
Full Ice Experience
*
None
1-2 Games
Full Season (8+ games)
Which dates will you be attending?
*
Tuesday 3/24 - 6:30-7:20PM
Wednesday 3/25 - 5:30-6:20PM
Is a parent/guardian interested in coaching/helping?
Interested in coaching
Interested in helping out on-ice
Interested in managing
I understand that $20/skater will be collected at the door and agree that my player is attending because we are interested in joining the team (Goalies free).
*
Yes
Please feel free to share any questions, comments, or anything you'd like us to know about your player prior to the skate
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