Youth Team RegistrationFields marked with an * are required.error_outline Some fields contain errors Show {{form.showErrors ? 'Less' : 'More'}}keyboard_arrow_down {{error.field}} - {{error.message}} Pants SizeJr SmJr MdJr LgAd SmAd MdAd LgAd XlTeam Jersey SizeYth SmYth MdYth LgYth XlAd SmAd MdAd LgAd XlAd XXlAd XXXlAd Goalie Cut (size 58)Jersey # Choice 11-2 digitsLast Name as it will appear on jerseys (In all CAPS)Player's NameFirst NameLast NameHome AddressStreet AddressCityCountryBirth Year2013201220112010200920082007200620052004200320022001PositionFDF/DGGenderMaleFemaleCell Phone #EmailState/ProvinceAlbertaArizonaBritish ColumbiaCatalunyaColoradoFloridaGeorgiaIllinoisIowaKentuckyManitoba/SaskatchewanMichiganMissouriNebraskaNew JerseyNew YorkNorth CarolinaNorthern CaliforniaOhioOntarioPennsylvaniaRhode IslandSouthern CaliforniaTennesseeTexasVirginiaWisconsinPlayers HeightFormat Example: 5-4Players Weight (in lbs)Format Example: 120ShootsLeftRightJersey # Choice 21-2 digitsJersey # Choice 31-2 digitsSkill Level Trying Out ForAAA/AA OnlyAAA/AA or ADo you play ice hockey?YesNoName of current roller hockey club (if any)Waiver2019TeamMinorWaiverParent/Guardian NameFirst NameLast NameAgree I agree to the above waiver.Sign your name if you agree with the above waiverFull NameSignarrow_drop_downGenerate from nameclearLoad signature fontPlayer FeesPlayer FeeSelect1st team fee - $310.001st team fee + Skills Competition - $330.001st team fee + Tryout Fee - $375.002nd team fee - $125.001st team + 2nd team fees - $435.001st team + 2nd team fees + Skills - $455.00Catalunya fee - $360.00PaymentCouponApplyDiscountSubtotalTaxTotal USDContinue to PayPalThe form has been submitted.