(416) 271-0755
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(416) 271-0755
BRICK SERIES - WINDY CITY
(2011 PRO HOCKEY ELITE DYNAK)
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PLAYER INFORMATION
PARENT/GUARDIAN INFORMATION
JERSEY INFORMATION
First Name:
*
Player's First Name
Last Name:
*
Player's Last Name
Middle Initial:
Birthdate:
*
Gender:
*
Male
Female
Height:
*
Feet :
Inches:
Weight (LBS):
*
Position:
*
Forward
Defense
Goalie
Shoots:
*
Left
Right
Winter Team Played For:
*
Level - Winter Team Played for:
*
Select Level
Junior
AAA
AA
A
BB
Select
House League
Other
Please Enter The Level:
*
Age Group Registering For:
*
2016
Notes:
Address:
*
Address 2:
City:
*
State/Province:
*
Zip:
*
Parent/Guardian First Name:
*
Parent/Guardian Last Name:
*
Phone Number 1:
*
Phone Number 2:
Parent/Guardian 1 Email:
*
Parent/Guardian 2 First Name:
Parent/Guardian 2 Last Name:
Parent/Guardian 2 Phone Number 1:
Parent/Guardian 2 Phone Number 2:
Parent/Guardian 2 Email:
Are you a returning player and plan to use your existing Pro Hockey uniform?:
*
Yes
No
Please input your existing jersey number:
*
Have you already purchased a 2021 Pro Hockey Uniform Package?:
*
Yes
No
You must purchase a uniform package to proceed with your registration:
Buy Pro Hockey Uniform
Choose only one of the following payment options below:
*
Additional Toppings
Default
$0.00
$0.00
BRICK Series - WINDY CITY (2011 Elite DYNAK)
June 12-14, 2020
Chicago, IL
(5-game guarantee)
$299.00 USD
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