Hershey Quebec Player Registration

Player Name*
First Last
Player Date of Birth*

mm/dd/yyyy
Player Address*
Street Address City State ZIP Code
Position*
- Forward
- Defense
- Goalie
Shoots*
- Left Handed
- Right Handed
Team last year*
Team for upcoming year*
Mother's Name*
Mother's Cell Phone*
Mother's Email*
Father's Name*
Father's Cell Phone*
Father's Email*