OTTAWA MYERS RIDERS
PLAYER REGISTRATION FORM
(Please make sure all information is legible)
LAST NAME:
_________________________________________________________________
FIRST NAME:
_________________________________________________________________
HOME
ADDRESS:
_____________________________________________________________
CITY:
___________________________________ POSTAL CODE: ______________________
TELEPHONE - HOME: (______)__________________
CELL: (______) __________________
DATE OF BIRTH: DAY _________ MONTH
_____________________ YEAR ____________
PLAYER E-MAIL ADDRESS:
____________________________________________________
WEIGHT: ___________________________ HEIGHT:
________________________________
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NAME OF LAST YEAR'S TEAM:
________________________________________________
HIGH SCHOOL / UNIVERSITY NAME: ___________________________________________
PREVIOUS POSITION PLAYED:
________________________________________________
POSITION YOU WOULD LIKE TO TRY-OUT FOR: _______________________________
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PLACE OF WORK:
_____________________________________________________________
WORK
TELEPHONE : (_____)___________________
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EMERGENCY CONTACT NAME:
________________________________________________
EMERGENCY CONTACT TEL: (_____)_______________
CONTACT E-MAIL ADDRESS:
___________________________________________________