Janesville NAHL Tryout Camps Registration Form

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Tryout Camps: Pre Draft Tryout Camp (May 14-16, Oregon Ice Arena, Oregon, WI - $225) Open Tryout Camp (July 9-11, Janesville Ice Arena, Janesville, WI - $225) Main Tryout Camp (July 29-Aug 1, Janesville Ice Arena, Janesville, WI - $300) Jets Youth Camp 9-14 year olds (Aug 9-13, Janesville Ice Arena, Janesville, WI - $125) Jets Youth Camp 6-8 year olds (Aug 9-13, Janesville Ice Arena, Janesville, WI - $100) Skaters Last Name: Skaters First Name: Skaters Address: Skaters City: Skaters State:    Skaters Zip:   Skaters E-Mail Address: Skaters Home Phone #: Skaters Cell Phone #: USA Hockey Registration #: Parents Name: Parents Phone #: Parents Cell #: Parents Email: Skaters Birth Date: Month -Select- 1 2 3 4 5 6 7 8 9 10 11 12   Day -Select- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31   Year -Select- 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 Skaters Position: Defense  Left Wing  Right Wing  Center  Goalie Skaters Shot:  Left   Right Skaters Height: -Select- 4 5 6 ft.   -Select- 0 1 2 3 4 5 6 7 8 9 10 11 in. Skaters Weight: lbs. Last Team Played For:                Please only hit the "Submit" button once! If you made a mistake and need a correction to be made contact the webmaster with the info and he'll make the change.