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Team Wisconsin Tryout Registration Form
 

U18 & U16 Registration is CLOSED!
 

  Required fields!
 
Team: U16 (1992, 1993 Birth years)
U18 (1990, 1991 Birth years)
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 #:
Mothers Name:
Mothers Phone #:
Mothers Cell #:
Mothers Email Address:
Fathers Name:
Fathers Phone #:
Fathers Cell #:
Fathers Email Address:
Skaters Birth Date: Month  Day  Year
Skaters Position:  Defense  Left Wing  Right Wing  Center
Skaters Shot:  Left   Right
Skaters Height: ft.   in.
Skaters Weight: lbs.
Team Played For in 2007-2008:
Team You Will Play For in 2008-2009:
High School Attending in 2008-2009:
Coaches Name:
Home Phone #:
Work Phone #:
Cell Phone #:
2008-2009 High School Grade: 9th  10th  11th  12th
Are You Playing A Fall Sport in 2008: Yes  No     If Yes, what sport?

              

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