2016-2017 Midget Tryout Form (Garden City Minor Hockey)

2016-2017 Midget Tryout Form

Select One^*

MaleFemale

Required

Surname^*

Required

First Name^*

Required

Middle Name

Date of Birth^*

Required

Month/Day/Year

Address^*

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City^*

Required

Postal Code^*

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Contact Email^*

Required

Example: [email protected]. Your submission will be sent to this address.

Home Phone Number^*

Required

Example: ###-###-####

Mother's Name

Mothers Contact Number

Example: ###-###-####

Father's Name

Fathers Contact Number

Example: ###-###-####

Additional Notes or Comments

Played for last season

Position Trying Out For

Residents of the former OMHA boundaries of Merritton may choose to participate in tryouts with the option of remaining in Merritton.

I reside in Merritton and choose to bypass selection, and play for Merritton

yes or no