INTERESTED IN JOINING THE TEAM?? (Complete the following form)

Completing the following form does not guarantee a spot on a team.  All applicants will be placed on a waiting list and notified of upcoming team events.  FOR MORE INFORMATION CONTACT: Head Coach, Danny Frey- coachfrey@whitmerhockey.com

Player Name:

             (Last)                                                         (First)                                                 Birth date                                      Class   

                                                                                 

       

Home Phone Number                                          Player's Cell Number                                    E-mail address

                                                                       

 

Address:

(City)                      (State)                (Zip)  

 

 Additional Information: