INFORMATION ON THE PLAYER

2020-2021 SEASON

This form must accompany the player registration certificate

Name and first name

Major junior team name
Date of birth
Social insurance number _
Health insurance number
Student identification
Certificate number major junior affiliated player
Registered last season with

Permanent address
City and province
Postal code
Telephone number
Resides at this address since
Name of the player’s father _________________________________________________

Fathers email/cell. _______________________________________________________

Name of the player’s mother _______________________________________________
Mothers email/cell________________________________________________________

Address with the team (boarding)

City and province
Postal code Telephone number __________________________

Jersey number
POSITION: Goalkeeper R.D. L.D. R.W. L.W. _C.
SHOOT: left or right
HEIGHT: feet inches WEIGHT: pounds
Place of birth
Correspondence (English or French)