DVHL Player Addition Form

DVHL Player Addition Form

This form must be submitted to the appropriate Vice President before the player participates in a game. The Vice President must also be called: Dave Jackson (18, 16 and 14U) 267.767.5487, Ray Clements (12, 10 & 8 U) 215.429.1639 and Joe D'Angelo (B American) 302.994.7299 or 302.540.6171 (C)
Vice President Responsible: *
Club Name: *
Player's Name: *

First Name Last Name
Player's Birthdate: *

- Month - Day Year
Team Assigned to: *
Team Color or Number if appicable:
Uniform Number:
Postion *
Addition Effective Date: *

- Month - Day Year
Release Required: *

Yes No
If a release is required it must be faxed to Dave Jackson @ 267.347.7289; Ray Clements @ 267.645.0464 or Joe D'Angelo @ 302.380.3499. Thank You!
Authorized Club Representative: *
Authorized Representative E-mail Address: *
Authorized Representative Cell Phone Number: *

- Area Code Phone Number
Should be Empty: