Lapeer Hericanes Girls Spring Hockey Registration Form

Lapeer Hericanes Girls Spring Hockey Registration Form
Lapeer Hericanes Girls Hockey

April 12th and 13th - Polar Palace - Lapeer, Michigan
Name

First Name Last Name
Date of Birth

Month Day Year
Date Date Picker Icon

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number

Area Code Phone Number
Email
example@example.com
What team did you play for this past season?
Which tryout are you planning on attending?

April 12th @7pm April 13th @ 12:30pm
Are you a District 5 resident?
Should be Empty:

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