PREP 2009

                                PREP Hockey Club

                             Player Information Sheet

                                     Spring 2009  

Player’s Name  _________________________________________________________________

School  _________________________________________________________

Birthdate   ______/_____/_______               8^th           FR          SO          JR

Address  ___________________________________________________

City, State, Zip  __________________________________________________

Home Phone  _______________________  Cell Phone  _______________

 
Player History:

Position(s)_______________________________ Preferred Number ______

Organization Played Last Season _____________________________________

Division Played Last Season  _____________________________ (Bantam, Midget, High School)
 

                                                   
I am currently covered by USA Hockey insurance            YES            NO
  

Parent’s Names  ________________________________________________

Home Phone Number  _____________________________________________

Mother’s Cell Phone #  ____________________________________

Father’s Cell Phone #  _____________________________________________

E-Mail Address  __________________________________________________