Minnesota Wilderness Player Information Form 2019-2020
PERSONAL INFORMATION
First Name *
Your answer
Middle Name *
Your answer
Last Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Email Address *
Your answer
Cell Phone Number *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Country *
Your answer
Fathers Name *
Your answer
Fathers Occupation *
Your answer
Fathers Cell Phone Number *
Your answer
Fathers Email Address *
Your answer
Mothers Name *
Your answer
Mothers Occupation *
Your answer
Mothers Cell Phone Number *
Your answer
Mothers Email Address *
Your answer
Siblings *
Siblings Name & Age
Your answer
BILLET INFORMATION
If you are a local player planning on living at home you can skip to the next section.
Favorite Meal? [Example: Chicken & Broccoli Alfredo with Garlic Bread] *
Your answer
Favorite Fruits? You can put more than one. *
Your answer
Favorite Vegetables? You can put more than one. *
Your answer
Favorite Restaurant? *
Your answer
Do You Enjoy Regular Sit Down Meals? *
If you are home alone, what are TWO meals you would cook for dinner? *
Your answer
What are TWO meals you normally eat for breakfast?
Your answer
Are you allergic to any foods? *
Your answer
Do you strongly dislike any fruits or vegetables? *
Your answer
Do You Like to Cook?
Hobbies *
Your answer
Previous Work History *
Your answer
Health Issues to Consider? *
Your answer
Do you enjoy living with Pets? *
Required
Where do you prefer to spend leisure time? *
Will You be Bringing a Car? *
Is There A Player on the Team You Would Prefer to Live With?
Your answer
Is There Anything Else You Would Like the Billet Coordinator to be Aware of?
Your answer
SCHOOL/HEALTH INFORMATION
High School *
Your answer
GPA *
Your answer
ACT Score
Your answer
SAT Score
Your answer
Have You Taken College Courses
If so, please list College and Courses
Your answer
Height *
Your answer
Weight *
Your answer
Injury History *
(Please be specific, including type of injury, date, and if surgery was required)
Your answer
Allergies *
Your answer
HOCKEY INFORMATION
Jersey Number 1st Choice *
Jersey Number 2nd Choice *
Jersey Number 3rd Choice *
Team Goals for the Season *
Your answer
Personal Goals for the Season *
Your answer
Top 5 Schools You Would Like to Attend *
Your answer
Most Influential Person Throughout Hockey Career *
Your answer
Preferred Position *
Left Wing / Center / Right Wing Left Defense / Right Defense Goaltender
Your answer
How many hours did you train this Summer? *
Your answer
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