Request edit access
Blaze Youth Summer League - 2020 Registration Form
April thru September 2020 • 22 Sessions for only $275 • Greenheck Ice Arena • Schofield
Email address *
Player's Full Name *
Your answer
Player's Mailing Address *
Please include city and zip code
Your answer
Player's Birth Date *
Your answer
Male or Female *
Player's Home Association
Your answer
I am a Goalie looking to play
2020 Blaze Registration Level *
If between age groups you can play up or down
Player's T-Shirt Size
Youth Size
Adult Size
Medications, Medical Limitations, and/or Allergies:
Please List
Your answer
Parent/Guardian Details
Full Name #1 *
Your answer
Full Name #2 *
Your answer
Address (if different from player's)
Your answer
Home Phone
Your answer
Cell #1 *
Your answer
Cell #2
Your answer
Email Address #1 *
Your answer
Email Address #2
Your answer
Emergency Contact Name / Relationship to Player
Your answer
Home Phone
Your answer
Cell
Your answer
Would you like to occationally help supervise on the ice
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy