ID Skate – Worcester Railers JHC

Player's First Name*

Player's Last Name*

Hometown*

Player's Cell Phone*

Parent/Guardian's Cell Phone

Player's Email*

Enter Email Confirm Email

Parent/Guardian's Name*

First Last

Parent/Guardian's Email

Enter Email Confirm Email

Player's Position*

Height*

Weight*

Shot*

Date of Birth*

*2007-2003 Birth Years only please

Last team*

Please enter the name of the team you last played for

Last team's league/level

Please enter the league and level of the last team you played for. (Example: USPHL / U16AAA)

ID Skate Cost*

Total

$0.00

Billing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Phone

This field is for validation purposes and should be left unchanged.

Worcester Railers JHC ID Skate RSVP