Northwestern Mite Hockey Pre-Registration Form

Please fill out this Pre-Registration Form if your child plans to play Mite Hockey at Northwestern Hockey for the 2012-13 season. Mite Hockey can include a Mite Travel Team or the In House Mite Cross Ice League. This is not a commitment to play in the 2012-13 and no payment is required at this time. This information is being collected to assist with planning for the 2012-13 season.

Child's First Name

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* 1. Child's First Name

Child's Last Name

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* 2. Child's Last Name

Parent's First Name

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* 3. Parent's First Name

Parent's Last Name

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* 4. Parent's Last Name

Parent's Email Address

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* 5. Parent's Email Address

In what year was your child born?

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* 6. In what year was your child born?

Has your child completed Northwestern Hockey's "Intro to Hockey" program or an equivalent program?

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* 7. Has your child completed Northwestern Hockey's "Intro to Hockey" program or an equivalent program?

For children NOT playing on a travel team, every attempt will be made to organize teams so that practices will be conducted at their "preferred" home rink. Cross Ice Games will be played at either rink. Please indicate what your preferred home rink is:

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* 8. For children NOT playing on a travel team, every attempt will be made to organize teams so that practices will be conducted at their "preferred" home rink. Cross Ice Games will be played at either rink. Please indicate what your preferred home rink is:

Are you interested in having your child play on a Mite Travel team for the 2012-13 season?

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* 9. Are you interested in having your child play on a Mite Travel team for the 2012-13 season?

Please add any comments or questions you might have regarding Northwestern Hockey's Mite Program.

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* 10. Please add any comments or questions you might have regarding Northwestern Hockey's Mite Program.

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