2012 TGB PLAYER PROFILE

REGISTRATION FORM

 

COST OF PARTICIPATION:        

 

$315 + $15 tryout fee

(Cost includes two jerseys, one pair of socks, Practice Ice, and three Tournaments)

 

Please send two (2) separate checks payable to:

Cornerstone Community Center (CCC) 1640 Fernando Dr. DePere, WI 54115

 

Please include a photocopy of the players USA Hockey Registration.

 

Payment and registration deadline is March 9, 2011.

No Walk-ups – No Exceptions

 

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Player's Name: ________________________________

Position trying out for: ________________________

Parent's Names: ______________________________

Street Address: _________________________

City, State, Zip: ____________________

Email: ____________________________

Phone: _______________ Birth Date: ____________

Hockey Association: __________________________

Coach's Name: ______________________________

Coach's Email: _____________________________

Coach's Phone: _________________