2012 Belle Tire Registration Form Question Title * 1. Player's Name (Required.) Question Title * 2. Parent/Guardian's Name (Required.) Question Title * 3. Parent/Guardian's Email (Required.) Question Title * 4. Parent/Guardian's Phone (optional) (Required.) Question Title * 5. Player's Home Address (Required.) Question Title * 6. What district does the player live in? (Required.) Question Title * 7. For what team(s) did the play previously play? (Required.) Question Title * 8. Team Position Desired (Required.) Forward Defense Goalie Any Position Question Title * 9. Birth Date (Required.) Date Date Question Title * 10. What is your long-term hockey goal? (Required.) Done