Added information form - LI EDGE Travel Hockey

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EDGE ADDITIONAL INFO FORM 2023-24

Thanks for registering for LI EDGE Warmups and/or Tryouts for the 2023-24 Season. Please complete this form so we have your accurate and updated contact information. Thank you.

PLAYERS NAME

First Last

BIRTHDATE(Required)

Position(s) Played(Required)

Shoots

Left or Right

Jersey Number

Jersey # last season if you expect to use it again

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

BEST EMAIL(Required)

All EDGE messages will be sent to this address

BEST PHONE(Required)

Will be used as primary phone contact

SECOND EMAIL

Party responsible for Payment

FATHER FIRST NAME

First

FATHER LAST NAME

Last

FATHER CELL PHONE(Required)

MOTHER FIRST NAME

First

MOTHER LAST NAME

Last

MOTHER CELL PHONE(Required)

Do You Have Permission to attend EDGE warm ups?(Required)

Not required for EDGE players

DO YOU HAVE YOUR ORIGINAL PLAYER RELEASE FORM ?

An ORIGINAL Release is Required for TRYOUTS

Organization You Played with Last Season

CAPTCHA

Name

This field is for validation purposes and should be left unchanged.