Form Page: Registration

Waseca Hockey Association

2011 - 2012 Tournament Registration

Tournament Selection:

Team Name:

Team Color(s):

Team Sponsor:

District:

Contact Name:

Contact Address:

Contact City:

Contact State:

Contact Zip:

Contact Email:

Contact Phone 1:

Contact Phone 2:

Coaches Name 1:

Coaches Phone 1:

Coaches ID# 1:

Coaches Name 2:

Coaches Phone 2:

Coaches ID# 2:

Coaches Name 3:

Coaches Phone 3:

Coaches ID# 3:

POS

Jersey #

Player Name

Any additional Information:

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