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Prospective Players

If you are a new player interested in the CT Clipper youth hockey program and have questions regarding a particular team, please fill out the form below.

This information will be forwarded to the appropriate coach.

This form is for inquiries only and is NOT a registration form for tryouts.
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Please indicate the level in which you are interested:

Midget
Bantam Major
Bantam Minor
Peewee Major
Peewee Minor
Squirt Major
Squirt Minor
Mite Major
Mite Minor
I'm Not Sure

:: Personal Information
Name
Address
 
City State/Prov
Zip Country
Phone

Birth Date
Father's Name
Mother's Name
Email

:: Athletic Information
Position Shoots
Height Weight

:: Current Team Information
Team League
Coach Phone
Website

:: Last Year's Team Information
Team League
Coach Phone
Website

:: Comments/Plans
Please comment on your desire to join the Clippers as well as any other information that you believe is important for us to know.

If there are any problems, just send us an e-mail.


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