AAA > 2013-2014 > Minor Midget > 2014 Minor Midget AAA Information Session (Kitchener Minor Hockey)

2015 Minor Midget AAA Information Night RSVP

Date: Tuesday, April 7th

Time: 7:00pm to 8:30pm

Location: Subscriber's Lounge (upper floor) at the Kitchener Auditorium

If you have any questions, or have any issues with this online form, please email the KMHA office at [email protected]

Player First Name^*

Required

Enter the players first name

Player Last Name^*

Required

Enter the players last name

Player Birthdate^*

Required

Enter Player Birthdate - Click on Calendar to Select

Players Street Address^*

Required

Enter the players street address

Players City^*

Required

Enter the City where the player lives

Players Postal Code^*

Required

Sample: X0X 0X0

Players Province^*

Required

Enter 2 Letters Representing Province - i.e. ON

Players Home Phone Number^*

Required

Example: ###-###-####

Parents Cell Number

Example: ###-###-####

Parents Email Address^*

Required

Example: [email protected] - Your submission will be sent to this address

Players Position^*

Forward
Defence
Goalie

Required

Select players primary position played last season

Goalie Catcher Side^*

Right
Left
N/A - Player

Required

Select goalie's catcher side

Player Shot^*

Right
Left
N/A - Goalie

Required

Select which way player shoots

Team Played for in 2013/2014^*

Required

ie Kitchener Jr Rangers / New Hamburg

Level of Hockey Played Last Season^*

Required

Select the level of hockey played last season

Attending Information Session^*

YesNo

Required

Please indicate if attending or not

2014 Minor Midget AAA Information Session, Minor Midget, 2013-2014, AAA (Kitchener Minor Hockey)

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