2017-18 Tryout Registration Form DJHL Peewee 'A' & Bantam 'A' & St. John's/Tri-Com 'AAA'
Email address
Player's Last Name
Your answer
Player's First Name
Your answer
Position
Home Minor Hockey Association
Division trying out for this season
Please indicate which level of hockey your child played on a full-time basis last season
Street Address
Your answer
City / Town
Your answer
Postal Code
Your answer
Birth Year
Full Date of Birth
MM
/
DD
/
YYYY
MCP No.
Your answer
Parents' Names
If Guardian, please note in bracket following name.
Your answer
Phone Number
Cell number preferred (additional info can be provided to Team Managers later)
Your answer
Primary Email Address
This address will be the main source of contact from the DJHL
Your answer
Important Medical Information
Only indicate medical information which you wish to share with team staff
Your answer
Will your child also be trying out for AAA hockey first?
Required
If trying out for Bantam A, do you wish to participate in a 2-hour checking clinic? (optional)
Clinic will be one hour on ice and one hour classroom.
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
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