Team Registration – Gold Rush Senior Hockey Tournament

Team Captain Details

Captain's Name *

First

Last

Captain's Phone Number *

Captain's Email

Team Details

Team Division Requested *

Team name *

Home Team Color

Away Team Color

If other, please specify

Player Details

How many players are registered?

Player 1 name

First

Last

Email

Player 1 - Enter Your Age (as of 31-Dec-22)

Player 1 position

Player 1 - Please select your playing experience

Player 1 - Please enter total number of years of playing experience:

Player 2 name

First

Last

Email

Player 2 - Enter Your Age (as of 31-Dec-22)

Player 2 position

Player 2 - Please select your playing experience

Player 2 - Please enter total number of years of playing experience:

Player 3 name

First

Last

Email

Player 3 - Enter Your Age (as of 31-Dec-22)

Player 3 position

Player 3 - Please select your playing experience

Player 3 - Please enter total number of years of playing experience:

Player 4 name

First

Last

Email

Player 4 - Enter Your Age (as of 31-Dec-22)

Player 4 position

Player 4 - Please select your playing experience

Player 4 - Please enter total number of years of playing experience:

Player 5 name

First

Last

Email

Player 5 - Enter Your Age (as of 31-Dec-22)

Player 5 position

Player 5 -Please select your playing experience

Player 5 - Please enter total number of years of playing experience:

Player 6 name

First

Last

Email

Player 6 - Enter Your Age (as of 31-Dec-22)

Player 6 position

Player 6 - Please select your playing experience

Player 6 - Please enter total number of years of playing experience:

Player 7 name

First

Last

Email

Player 7 - Enter Your Age (as of 31-Dec-22)

Player 7 position

Player 7 - Please select your playing experience

Player 7 - Please enter total number of years of playing experience:

Player 8 name

First

Last

Email

Player 8 - Enter Your Age (as of 31-Dec-22)

Player 8 position

Player 8 - Please select your playing experience

Player 8 - Please enter total number of years of playing experience:

Player 9 name

First

Last

Email

Player 9 - Enter Your Age (as of 31-Dec-22)

Player 9 position

Player 9 - Please select your playing experience

Player 9 - Please enter total number of years of playing experience:

Player 10 name

First

Last

Email

Player 10 - Enter Your Age (as of 31-Dec-22)

Player 10 position

Player 10 - Please select your playing experience

Player 10 - Please enter total number of years of playing experience:

Player 11 name

First

Last

Email

Player 11 - Enter Your Age (as of 31-Dec-22)

Player 11 position

Player 11 - Please select your playing experience

Player 11 - Please enter total number of years of playing experience:

Player 12 name

First

Last

Email

Player 12 - Enter Your Age (as of 31-Dec-22)

Player 12 position

Player 12 - Please select your playing experience

Player 12 - Please enter total number of years of playing experience:

Player 13 name

First

Last

Email

Player 13 - Enter Your Age (as of 31-Dec-22)

Player 13 position

Player 13 - Please select your playing experience

Player 13 - Please enter total number of years of playing experience:

Player 14 name

First

Last

Email

Player 14 - Enter Your Age (as of 31-Dec-22)

Player 14 position

Player 14 - Please select your playing experience

Player 14 - Please enter total number of years of playing experience:

Payment - PayPal Checkout *

PayPal or use a Debit/Credit Card.