Belle Tire Girls 10U

Belle Tire Girls Hockey 2014 & 2015 - Tryout Registration Form

(age 10 and under)

Home ICE: Taylor Sportsplex - 13333 Telegraph Rd, Taylor, MI 48180
Athlete Information
Player Name*

First NameLast Name
Date of Birth:*

MonthDayYear
Date
Parent - Contact Names*

First NameLast Name
Parent - Contact Names

First NameLast Name
Parent - Contact Cell Phone*
E-mail*
example@example.com
23/24 Team Name*
Current District (if unsure reply with city of residence)*
Position:*

ForwardDefenseForward & DefenseGoalie
Questions or Comments:
After completing this form, please click Submit Form. You will receive a confirmation email. If you do not receive the email within a few minutes, please check your spam; otherwise, please contact us at cputek12@gmail.com
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