Player Information Form | Gretzky's Game HC

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2 youth hockey players practicing on the ice

Players First Name*

Players Last Name*

Position*

Players Birthday*

Year

Month

Day

Shirt Size*

Youth Small

Youth Medium

Youth Large

Youth Extra Large

Parent or Guardians Full Name*

Parent or Guardians Email*

Parent or Guardians Phone*

#1 Emergency Contact Name & relationship to the player*

#1 Emergency Contact's Phone Number*

#2 Emergency Contact Name & relationship to the player*

#2 Emergency Contact's Phone Number*

Does your child have any medical information we should be aware of?*

Does your child have any allergies or dietary restrictions, if yes, please specify below.*

Yes, I agree to receive communications about Gretzky's Game Hockey Clinic.

Yes I agree to Gretzky's Game Hockey Clinics Terms & Conditions

Player Information Form

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