Rep Try Out Form 2019 (Bradford Bulldogs)
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Essex County
Four Counties
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Rep Try Out Form 2019
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Rep Try Out Form 2019
Player Information
Please fill in the following information
Players First Name
*
Players Last Name:
*
Players Date of Birth
*
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Players Primary Address
*
Parent/Guardian Name:
*
Contact Email Address:
*
Example:
[email protected]
Your submission will be sent to this address.
Contact Phone Number
*
Example: ###-###-####
Team Selection
Please select the team your child is wishing to try out for:
Please Select Team:
*
Select One...
Minor Novice (2012)
Novice A (2011)
Minor Atom A (2010)
Atom A (2009)
Minor Peewee A (2008)
Peewee A (2007)
Minor Bantam A (2006)
Bantam A (2005)
Minor Midget A (2004)
Midget A (2002/2003) 1 try out in the spring, 2 in the fall
Please use the drop down bar to select the team in which the player wishes to try out for
Position:
*
Select One...
Defence
Forward
Forward & Defence
Goalie
Please use the drop down bar to select the position in which player plays
Previous Team:
*
Please enter the team the player played for last season, include city/town
NRP:
*
No
Yes
Please select yes or no if you are a NRP (Non Resident Player) from another Association. Please remember to bring your NRP card with you to the first try out
Payment
Player Passports are $65 which cover all tryouts. Players that are new to BWGMHA must pay a $100 deposit towards registration.
Passport Fee:
*
Select One...
Passport Fee -- $65.00
Registration Deposit for new players plus passport fee -- $165.00
By submitting this registration form you have placed your child on the try out list for the selected team.
Payment is due at the sign in desk at each try out. Failure to provide payment will result in removal from the list.
If your player did not play for BWGMHA last season you will be required to fill out a registration form along with a $100 registration deposit. $100 registration deposit will be applied to your 2019-2020 hockey fees.
NRP's - please remember to bring your NRP cards with you to be permitted to try out. You will also be required to fill out a registration form along with the $100 deposit. If you do not make the team your $100 deposit will be refunded.
Thank You
I agree to the terms and conditions stated above
*
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