2022 Canada Inline Player Application Form
Please fill out this form so our Coaching Staff can evaluate your player
Player Name
*
First Name
Last Name
Player Birth Year (i.e 2005)
*
Parent Name (for youth players)
First Name
Last Name
Best Email
*
example@example.com
Best Phone Number
*
-
Area Code
Phone Number
Is the above phone number also available on whatsapp?
*
Yes
No
If comfortable please share your Instagram and/or Facebook handles
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Highest Level of Roller Hockey Experience
*
Highest Level of Ice Hockey Experience
Position
*
D
F
D/F
G
Height (feet and inches)
*
Weight (lbs.)
*
Events interested in (select all that apply)
*
NARCH Finals Team Canada Development Program July 2022, California
World Roller Games (Jr. and Sr.) Oct./Nov. 2022, Argentina
Men's Team Canada World Games Alabama July 2022
Masters (37+), Vets (45+), Legends (50+) Team Canada World Championships May 28-June 5 Italy
State Wars Provincial Team Development Program July 19-Aug. 1, Taylor Michigan *For Select Provinces Only (more info to come)
Teams interested in (select all that apply)
*
8U National Team Development Program (NARCH)
10U National Team Development Program (NARCH)
12U National Team Development Program (NARCH)
14U National Team Development Program (NARCH)
16U National Team Development Program (NARCH)
18U National Team Development Program (NARCH)
21U National Team Development Program (NARCH)
Womens National Team Development Program (NARCH)
Mens National Team Development Program (NARCH)
18U Jr. Mens Team Canada World Championships Oct/Nov. Argentina
18U Jr. Womens Team Canada World Championships Oct/Nov. Argentina
Sr. Mens Team Canada World Championships Oct/Nov. Argentina
Sr. Mens Team Canada World Games July 8-12 Alabama
Sr. Womens Team Canada World Championships Oct/Nov. Argentina
Masters Mens Team Canada World Championships (37 Over) May 28-June 5 Italy
Veterans Mens Team Canada World Championships (45 Over) May 28-June 5 Italy
Legends Mens Team Canada World Championships (50 Over) May 28-June 5 Italy
Short Bio and why you want to play for the team(s) selected above:
*
If possible, Please submit Video clip or game highlight so we can better evaluate the player.
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Which Location is closest for attending tryouts when they do begin again (check all that apply)
Alberta
BC
Manitoba
New Brunswick
Ontario
Quebec
Saskatchewan
Other
References (add Name, Phone number and email)
How did you hear about this application?
*
Email from CI
Social Media Post
Forwarded from a friend
Website
Other
Additional Comments
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