2013 Tri-City Selects Try-out Registration Form
First Name:
Last Name:
Date of Birth: (Month / Day / Year)
Address:
City:
State:
Zip Code:
Email Address:
Phone Number:
Position I would like to try out for:
Forward -

Defense -

Goalie -
Left -
Shot-
Right -
Preferred T-Shirt Size: (highlight preferred size)
No -
Yes -
Are you a US Citizen?
Yes -
No -
Are you USA Hockey Registered?
USA Hockey Registration # -
Have you played NCAA Women's Ice Hockey? If so, please list the University /
College and years played