Individual Player Signup Form

 

This form is intended for players that fit into the following categories:

 

I will take the information collected from this form and use it for two purposes:

 

Please answer the following questions accurately. If I discover that you have misrepresented any information here or have omitted something in an attempt to play at a certain level, I will be very unhappy - and you may be suspended (immediately, once discovered) from further league participation. I do not take this lightly, and neither should you.

 

Name:   

Email Address:   

Telephone Number you may be reached at:  

Birth Year (use 4 digits - i.e. "1984"): 

 

Playing Experience

Mark ALL appropriate playing experience

Youth Hockey

Mite
Squirt
Peewee
Bantam
Midget

Scholastic Hockey
High School (Freshman / JV)
High School (Varsity)
College Club
College NCAA
Junior / Pro Hockey

Junior Hockey (Junior A, B, C)

Major Junior Hockey (USHL, NAHL, OHL, QMJHL, WHL)

Professional Hockey (UHL, IHL, CHL, SPHL, ECHL, AHL, NHL)

Adult Recreational Hockey

Adult "A"

Adult "B"

Adult "C"

Adult "D"

Adult Other

 

Total Playing Experience (Years)  - Enter "0" if you are a brand new player

(Total of ALL years playing hockey - if you stopped for some time but then started again, do not count ONLY your recent experience)
 

Erie Adult League Play

Include details on ALL appropriate playing experience - leave BLANK if you have not played in the respective leagues

EYHA Adult Leagues

Most recent level played:

Most recent team played for:

Most recent year played:

Erie ICE Spring/Summer Adult Leagues

Most recent level played:

Most recent team played for:

Most recent year played:

Other Adult Recreational Leagues

Name of League/City:

Most recent level played:

Most recent team played for:

Most recent year played:

 

Position

Positions willing to play - mark ALL you are willing (and qualified) to play:
Forward

Defense

Goaltender

 

Preferred position:

 

 

2011-2012 Playing Level

Please mark all leagues you are interested in playing:
(If you are unsure, you may leave blank - but "D" is the "beginner" level)

Adult "Tier II"

Adult "A"

Adult "B"

Adult "C"

Adult "D"

 

Enter your preferred division:

 

 

 

 

          

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EYHA 2011-2012 Adult Leagues