2009-2010 Wolfeboro She-Wolves Registration

Name: ________________________________________________

Mailing Address: ________________________________________

_____________________________________________________

Phone#: _______________ Email: __________________________

(Very Important)

Date of Birth: ___________

Copy of USA Hockey Confirmation Form (from Online Registration)

Health Insurance Company: ________________________________

Insurance ID #: ________________________________________

Are you interested in?

______ Tryouts for the Travel 1 Team - $265

(Includes all practice, skills, scrimmages and games)
______ Travel 2 Team - $265
(Includes all practice, skills, scrimmages and games)
______ Skills & Scrimmages - $175

______ Goalies - $FREE!!!!

** Travel 1 & Travel 2 Teams Play in March Tournament

------------------------------------------
______ OK for your name, address, phone, email to be listed on the roster
(given to all players).

Mail/Email Completed Form, USA Hockey Confirmation # & deposit/payment to:

Sue Trotta (shewolves8@metrocast.net)
12 Alpine Meadows Road • Wolfeboro NH 03894 • 515-1250

**USA HOCKEY REGISTRATION REQUIRED**

Register Online at www.usahockey.com as a member and print your
confirmation copy