Tryout Camp Registration

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 First Name*

Parent/Guardian's Last Name*

Parent/Guardian's Email

Enter Email Confirm Email

Player's Position*

Left Wing
Center
Right Wing
Forward (any position)
Left Defense
Right Defense
Defense (any position)
Goaltender

Height*

Weight*

Shot*

Left shot
Right 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)

Are you currently signed to the Worcester Railers JHC?*

No
Yes

Payment Method*

Pay by Check
Pay by Credit/Debit Card

ATTENTION:

For those choosing to Pay by Check, please make the check out to Worcester Railers JHC and send to: AXE Hockey Group 654 South Union Street Lawrence, MA 01843

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

Name

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

Worcester Railers JHC Tryout Camp Registration

ATTENTION: