Northwest College Hockey Showcase Registration:

Player Name *

First

Last

Date of Birth *

Position *

Shoots/Catches *

Height *

Weight *

Player Cell *

Player Email *

Last Team Played For *

2018-19 Individual Season Stats *

Coaches Name *

First

Last

Coaches Phone Number *

Parent Name *

First

Last

Parent Cell Phone *

Parent Email *

2018-19 USA Hockey Registration # *

Please tell us about your academic goals *

Tell us about your future hockey goals: *

Please provide any additional information we need to know

Name

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