Roseville-St.Paul Co-Op Jersey Questionnaire
This questionnaire will provide information on current jersey number assignments for players in the Roseville and St. Paul Girls Hockey programs. Players who played in the Co-Op at the 12U and 15U levels last year will retain their current jersey numbers. While every effort will be made to keep the jersey numbers of new players at the 12U level, and new and existing players at the 10U level, this may not be possible.

***Jersey Number Preferences: If you are new to 12U this year or a returning 10U player, please provide 5 number preferences in the event that you are unable to keep your jersey number. Your number preferences must match your current jersey number in terms of odd or even. (For example: choose 5 even numbers if your current jersey number is an even number). Separate your numbers with a comma. Leave blank if you played 8U last year.

Please complete all questions on this questionnaire as soon as possible. This questionnaire will close at 6pm on August 30th, 2019.

If you have any questions, please contact Andy Burth at

Email address *
Player First Name *
Your answer
Player Last Name *
Your answer
Parent First Name *
Your answer
Parent Last Name *
Your answer
Parent Phone Number *
Your answer
Home Association *
Player's Level for the 2019/2020 Season *
Player's Level Last Season *
Current Jersey Number (Leave blank if you played 8U last year)
Your answer
Jersey Number Preferences*** - See instructions above.
Your answer
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