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:	Sign up for all camps at once, or one at a time. Either way, we hope you join us.			* Required fields
		Kent, Washington		$185	July 19 - 20, 2008
		Vancouver, Washington		$175	August 9-10, 2008
		Portland, Oregon		$185	August 16-17, 2008
		Seattle, Washington Try-Out		$100	September 12-13, 2008

	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:

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