Sport's Registration Form

2007 little Caesars Orange Registration (Pee Wee AA)
Player First Name *
Player Last Name *
Player Birth Date *

Month Day Year
Fall 2018 Team & Level *
Player Position *

Forward Defense Either Forward or Defense Goalie (Skate Free)
Parent Contact Name *
Parent Contact Phone *

- Area Code Phone Number
Parent Contact E-mail *
Address: Street
City, Zip Code *
District 4 Resident

Yes No
Tryouts Attending

Monday, March 18th at 7:15-8:45pm Farmington Hills Ice arena 8 Mile Rd.
Wednesday, March 20th at 7:15-8:45pm Farmington Hills Ice arena 8 Mile Rd.
Friday, March 22nd at 6:45pm-8:15pm Farmington Hills Ice arena 8 Mile Rd.
If offered a spot will your player except a spot *

Yes No Not sure
Comments / Questions:
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2007 little Caesars Orange Registration (Pee Wee AA)