Main Camp Reg

Main Camp Registration

Player First Name *
Player Last Name *

Parent Name *

Street Address 1 *
City *
State *
Zip Code *

Phone Number *

Player Email *

PARENT Email *

Position *

ForwardDefenseGoalie

Birthday *

Height *

Weight *

Shoots *

LeftRight

2022-23 USA Hockey Number *

Current Team *

Current Coach's Name *

Coach's Phone Number *

Jersey Size *