Individual Tryout Registration - State Wars Hockey

Individual Tryout Registration

Name

Last Name as it will appear on jerseys (In all CAPS)

Email

Cell Phone #

Home Address

Street Address

City

Country

Players Height

Format Example: 5-4

Players Weight (in lbs)

Format Example: 120

Jersey # Choice 1

1-2 digits

Jersey # Choice 2

1-2 digits

Jersey # Choice 3

1-2 digits

Name of current roller hockey club (if any)

Waiver

2019TeamMinorWaiver

Parent/Guardian Name

Agree

I agree to the above waiver.

Sign your name if you agree with the above waiver

Tryout Fees

Tryout Fee

Price$65.00

Payment

CouponApply

Discount

Subtotal

Tax

Total USD