Pre-Registration Form for Tryouts

Tryouts

2011-12 On-Line Registration

	Santa Clara Valley Hockey Association 2011-2012 Tier II /AA and A/B Travel Hockey Tryouts
Select Team you are Trying out for: (*)	Bantam AA Midget 16 AA Midget 18 AA Mite Squirt Pee Wee Bantam Midget 16 Please specify the Team you are registering for.
Player's Full Name:	Invalid Input
Date of Birth:	Invalid Input
	MaleFemale Invalid Input
USA Citizen **:	YESNO Invalid Input
** If NO, What Country:	Invalid Input
Provided Proof **	Invalid Input	** If NO, you must provide copy of Birth Certificate, copy of valid visa and evidence of residency
Home Address:	Invalid Input
City:	Invalid Input
Zip:	Invalid Input
Position:	Goalie Defense Forward Invalid Input
Shoots:	Left Right Invalid Input
Previous Team and Level:	Invalid Input
If current Blackhawk, what was your jersey number last season **:	Invalid Input	** Please provide three (3) Jersey Number choices, in order of preference.

Player's Father:	Invalid Input
Address Same as Player	YESNO Invalid Input
Home Address:	Invalid Input
City:	Invalid Input
Zip:	Invalid Input
Work Phone:	Invalid Input
Cell Phone:	Invalid Input
E-Mail:	Invalid Input

Player's Mother:	Invalid Input
Address Same as Player	YESNO Invalid Input
Home Address:	Invalid Input
City:	Invalid Input
Zip:	Invalid Input
Work Phone:	Invalid Input
Cell Phone:	Invalid Input
E-Mail:	Invalid Input
Parent/Guardan-in what capacity are you willing to volunteer?	Team Director Team Manager Team Parent Team Webmaster Team Reporter Fundraising Awards Ceremony Other Invalid Input
(send E-Mail receipt to this address) (*)	Invalid Input
Player's Home Phone Number:	Invalid Input
2011-12 USA Hockey No. ***	Input should be 9 Numerals followed by 5 Alpha Characters as supplied by USA Hockey. Please check your entry again.	*** USA Hockey ID should be 9 Numerals followed by 5 Alpha Characters as supplied by USA Hockey.

Player Number **:	Invalid Input	** Please provide three (3) Jersey Number choices, in order of preference.
Submit:

	Please complete your Pre-Registration by following the next steps: Download and complete either the => Tier Registration Packet or => A/B Registration Packet<= at these links then email or fax to: (408) 782-3020 NOTE: For all NEW (not returning) Blackhawk players, you will also need to present a copy of the player's Birth Certificate at Tryout Sign-In.