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
2 digit month, 2 digit day, 4 digit year
Date
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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?
Submit
Should be Empty: