Minuteman Flames Tryout Pre-Registration Form, 2019-2020 Season


Player's Last Name *


       First *        M.I.

Address *
Address 2
City  State  Zip *
Country



Parent's Last Name *        First *        M.I.
Spouse's First Name



Phone *  Cell  Work
E-mail *



Player Trying Out For: *
Squirt Minor (2010) PeeWee Minor (2008) Bantam Minor (2006) Midget Junior (2003-2004)
Squirt Major (2009) PeeWee Major (2007) Bantam Major U14(2005) Midget Senior (2001-2002)
    U15 (2004)  
Is Player On Any Medication Or Under Physician's Care? *
Yes No If Yes, Explain Under Comments
 
Does Player Have Commitment To Any Other Program Or Have Any Limitations Or Conflicts? *
Yes No If Yes, Explain Under Comments
Best Position Player Shoots * Height *   Ft   In Weight *   lbs.
Next Best Position Left Right D.O.B. *  
Comments
RELEASE FORM, MUST BE READ AND SIGNED BY PARENT OR GUARDIAN
As parent/guardian of the above-named child, I hereby grant permission for him/her to participate in the activities of the Minuteman Flames. I hereby waive, release and forever discharge said Minuteman Flames, its officers, members, agents, representatives, and employees from all claims and demands which I, my heirs, executors and administrators, and those of the above-named child have or may have against said Minuteman Flames, its officers, members, agents, representatives, and employees by reason of any personal injury or injuries, property damage or damage of any nature whatsoever resulting from the participation of the above named child in the activities of the Minuteman Flames and any consequences arising therefrom.
I agree with the above.