2024 Power Skating Waiting List (Top Shelf Hockey)

2024 Power Skating Waiting List

Player Info

First Name^*

Required

Players First Name

Last Name^*

Required

Players Last Name

Gender^*

FemaleMale

Required

Date of Birth^*

Required

Email Address^*

Required

Primary email to be used for communication

Hometown

Parent / Guardian Info

Parent / Guardian Name^*

Required

Email Address

if different from above

Cell Phone Number^*

Required

Example: ###-###-####

Second Phone Number

Home, other parent, etc

Power Skating Info

Power Skating Session Requested^*

Required

If a spot becomes available, we will contact you

Level Played in 2023-24^*

Required

Please be honest

Additional Info

Health Issues, Special Requests, etc.

Additional Info

Health Issues, Special Requests, etc

Acknowledgements / Disclaimers / Notices

Player Name

Name of Person signing this form [Parent/Guardian must sign if Participant is under 18 years of age]

2024 Power Skating Waiting List (Top Shelf Hockey)

Player Info

Parent / Guardian Info

Power Skating Info

Additional Info

Acknowledgements / Disclaimers / Notices

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