North Shore Shamrocks
Youth Hockey the way it was meant to be... North Shore Shamrocks
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Player Details
Name *
DOB *
Trying out for *
Position *
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Current Program/Team
Team *
Level *
(Elite, AAA, AA, A, B, C)
League *
Division *
(Mite, Mite Major, Squirt Minor, etc.)
Medical Details
Personal Physician *
Physician's Telephone *
Medical Insurance Coverage *
Contact Details
Parent's Name *
Phone Number *
Phone Number #2
Address *
City *
State/Zip *
Email Address *
Email Address #2
Optional
Comments
Waiver
Release of Liability/Acknowledgement of Risk *


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