Main Camp Invite Only

Camp You Are Attending*

Player Full Name*

Player Date of Birth (MM/DD/YYYY)*

Position *Please Select One (All Goaltenders will be put on a wait list until contacted by our coaching staff)*

2021-2022 USA Hockey Number*

Shot*

Height*

Weight*

Player Cell Phone Number (###-###-####)*

Player E-Mail Address. This will be the contact email for all camp related information*

Player Address*

Player Hometown/City*

Player State/Province*

Player Zipcode*

Parents Names*

Parents Cell Phone Numbers*

Citizenship's (Please List All)*

Current Team & League*

Current Coach Name*

Current Coach Number (###-###-####)*

Games Played 20-21 Season*

Goals (20-21 Season)*

Assists (20-21 Season)*

PIM (20-21 Season)*

Minutes Played (20-21 Season)*

GAA (20-21 Season)*

SV% (20-21 Season)*

Credit Card (Camp Cost $400)*

Credit Card Number (####-####-####-####)*

Expiration Date (MM/YY)*

Security Code On Back (3 or 4 Digits)*

Billing Zipcode*

Cardholder Name (As Shown On Card)*

Cardholder Phone Number (###-###-####)*

Billing City/Town, State*

Billing Address *

Cardholder Signature*