Hockey Yukon

2026 AWG November Tryout Registration

First Name

Last Name

Address

City

Prov/State

Postal Code/Zip

Cell Phone

Home Phone

Work Phone

Notes

Player Name

Parents name(s)

Emergency Contact Telephone Number (cell)

Does your player have any existing medical conditions or concerns?

Preferred Position

Players Date of Birth (DD/MM/YR)

Primary Contact Email Address

Primary Contact Cell Number

Players Tshirt size

What team is the player currently on

Player Jersey Size

Which team are you trying out for

Quantity

Total Price

Name on Card

Credit Card #

Expiry Month

Expiry Year

Security Code