18-19 ESHA Middle School Ice Hockey Player Interest Form
We are gathering information from players who are interested in playing for the middle school program for the 18-19 season.

This year we are unable to practice so the team is only open to players who are currently on a travel hockey team. Not open to players already playing or eligible for a current scholastic program (like QA Co). This will be mostly games, few practices. Cost estimate is $250/player fee.

6th - 8th graders are first choice, 5th graders welcome if space available. Space is limited to one manageable team so there may be a selection process depending on amount of interest.

***Players will only be selected for this team from those expressing interest on this form ( or other email equivalent) by the deadline.

DEADLINE is 9/30/2018 midnight. Questions? Contact Colin Fluharty: icehawkscheduler@gmail.com or call 410-829-3573

Player Name
Your answer
Player Age
Your answer
Current Grade and School attending. ( Home school welcome)
Your answer
Player Birth Year
Your answer
Parent/Guardian Name
Your answer
email contact
Your answer
Phone (optional)
optional
Your answer
Position played.
Your answer
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