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