PLAYER TRYOUT FORM

WWW.DANBURYWHALERS.COM

2010-2011 Tryout Camp Registration Form

Name                                                                                                                                      

Address                                                                                                                                              

City,



State                                                                                                                               

Phone                                                                                                                                      

Email                                                                                                                                       

Hockey Information

HT:                  WT:                 DOB:                        SHOOTS:                      



POSITION:                            

LAST TEAM PLAYED FOR:                                                                                                            

HOCKEY HISTORY:                                                                                                

Cost - $200

Hotel Information – Danbury Plaza Hotel – 203-794-0600

Mention Danbury Whalers Tryout Camp to receive special team rate

Each player will receive a Danbury Whalers practice jersey with number

Players will be required to sign a tryout / liability waiver

Any Questions Please Call 973-615-3974

Mail completed form to address below or email back to: danburywhalers@aol.com

For payments team will accept: Cash, Check, Money Order, & Credit Card

If paying by credit card call 973-713-7547

Mail Checks to

Danbury Whalers

Box 386

Sparta, NJ 07871