NW Selects - Female Hockey Organization

Wednesday August 20, 2008

Signup

To register for any or all of this summer's camps, please complete the following form and press submit. After completing the registration form, you will be redirected to our payment page. Payment can be made online through PayPal or via Check.

Registration Form

	Please Sign Me Up:	(Check all that apply)			* = Required fields
		Everett - June 23-24		(Past)
		Tri-Cities - July 28-29		$175
		Portland - August 18-19		$150
		Kent - August 25-26		$100

	Player Profile:
*	First Name:		*	Last Name:
*	Birthday:		*	Shoots:
*	Year In School:		*	Position:
	Last Team (1):			Team (2):

	Contact Info:
*	Father's First Name:		*	Last Name
*	Mother's First Name:		*	Last Name

*	Address 1:		*	Phone 1:	xxx-xxx-xxxx
	Address 2:			Phone 2:	xxx-xxx-xxxx
*	City:		*	Email 1:
*	State:			Email 2:
*	Zip:
	Comments:

| | | | |