NHPSA Tryouts 2012
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Registration

Please complete the information below in order to confirm your place at the NHPSA tryouts for our Classics, Eagles, Bedford (Spring Only) and High School programs for the 2012/2013 season.

Please note the following:
- NHPSA Eagles will only have teams for U11 boys and U14 boys and girls.
- NHPSA Bedford (Spring Only) will be for U10 to U12 boys and girls only.

If you have any issues with registering for a tryout please contact Paul Walsh at pwalsh@nhpsa.net

1. Please provide name and contact information

Please provide name and contact information Name of Player:
Address:
Address 2:
City/Town:
State:
ZIP:
Email Address:
Phone Number:

2. Date of Birth (MM/DD/YYYY)

Date of Birth (MM/DD/YYYY)

3. Gender

Gender Male

Female

4. Please select age group trying out for

Please select age group trying out for

5. Please state which NHPSA program you are trying out for


NHPSA Program	Please state which NHPSA program you are trying out for NHPSA Program

6. Please provide current club information and any additional player history/achievements.

Please provide current club information and any additional player history/achievements.

NHPSA Tryouts 2012Exit this survey

Registration

NHPSA Tryouts 2012
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