2013 Belle Tire Pee Wee A Spring Tryouts
Head Coach: Dave Seog 734-626-9086
Players Name
First Name
Last Name
Players Date of Birth
-
Month
-
Day
Year
Date
USA Hockey #
What district does player reside in?
Players Parent/Gaurdian
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
Position
Forward
Defense
Forward or Defense
Goalie
What team was player on last season?
At what level did skater play at last season?
Please Select
Yzerman
Howe1
Howe 2
Howe 3
What tryout dates will player be able to attend?
Monday, March 18th @ 8 PM - Allen Park Ice Arena
Tuesday, March 19th @ 8 PM - Allen Park Ice Arena
Wednesday, March 20th @ 7:30 PM - Lincoln Park Ice Arena
Not Available for either date, but would like to come out for an interest skate
How likely would you be to join the 2013 BT Pee Wee A team if offered a spot?
Unlikley
1
2
3
4
Likely
5
1 is Unlikley, 5 is Likely
Questoins/Comments:
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Should be Empty: