skip navigation
Anaheim ducks logo

LADY DUCKS COLLEGE DEVELOPMENT CAMP

01/29/2017, 2:15pm PST
By AAHA

Registration is now being accepted for the 5th Annual Lady Ducks College Development Camp, April 21-23, 2017. 

Complete the form below and return by April 10 to register:

(PLEASE COMPLETE AND SEND ALONG WITH FEE TO THE ADDRESS BELOW)

DEADLINE FOR REGISTRATION: APRIL 10, 2017

PLAYERS INFORMATION

PLAYER NAME: ____________________________________

ADDRESS:_________________________________________

CITY: __________________ STATE: _____ ZIP: __________

BIRTHDATE:_________________ HEIGHT: ______________

CURRENT TEAM____________________________________

DIVISION______________________ (for example 12U, 14U, 16U, 19U)

LEVEL_________________________ (for example AAA, AA)

POSITION______________________

COACH’S NAME:___________________________________

COACH’S PHONE #: ________________________________

YEAR IN SCHOOL: ______________ GPA:______________

CONTACT INFORMATION

PARENT’S NAME: __________________________________

HOME PHONE: ________________ CELL: ______________

EMAIL (Business) __________________________________

EMAIL (Home) _____________________________________

EMERGENCY CONTACT: ___________________________

RELATIONSHIP: ______________PHONE: ______________

Please send $350.00 check or money order with registration to:

ANAHEIM AMATEUR HOCKEY ASSOCIATION:
LADY DUCKS DEVELOPMENT CAMP
The Rinks Anaheim ICE
300 W. Lincoln Ave.
Anaheim, CA 92805
Attn: Art Trottier

 

Tag(s): Club News