Information

First Name:*

Middle Name:

Last Name:*

Date of Birth:*

Gender:*

Male

Female

Unspecified

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Primary Contact First Name:*

Primary Contact Last Name:*

Email:*

Contact Telephone:*

Address 1:*

Address 2:

City:*

State/Province:*

Zip:*

Country:*

Phone Number 1:*

Phone Number 2:

Additional Contact Email:

Current Team for Player:*

Current Coach Name:*

Player Phone Number:

Player Email:

Current Playing Level:*

Primary Player Position:*

Left Defense

Right Defense

Center

Left Wing

Right Wing

Goalie

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Secondary Player Position:*

None

Left Defense

Right Defense

Center

Right Wing

Left Wing

Goalie

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Shooting Hand / Stick Hand for Goalie:*

Right Hand

Left Hand

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Player Biography - Tell us everything about your player:*

Name 3 top players that your player has played with?:*

Name 3 top players your player has played against:*

Programs of Interest for Player:

Elite Spring Summer Fall Training Program

Morning Small Group and Private Training

Enforcer MN Spring Summer Teams (must live in MN)

National Teams

Prospect Tournaments

World Level Teams

Player Video & Skating Analysis

Training Camps

MN Fall Tier 1 Teams

Parent, Player and other twitter, facebook, instagram handles to communicate with:

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