2018-19 Player Information Form

Section 1 - Personal Information

Name

D.O.B.

MM/DD/YY

Personal Phone #

Home Phone #

Home or a Parent #

Personal Email

Parent(s) Email

Input 1 or 2 (your choice)

Home Address

Section 2 - Academic/Scouting Information

Last HS

Enter (School + Year of graduation)

HS Class Rank

If known

Current Current School

If not same as HS

College Credits

If applicaple

GPA

SAT Score

ACT Score

College Degree of Interest

Mark Unkown if you are unsure

Top 5 Colleges of Interest

Parent(s) Occupation(s)

Section 3 - Hockey

Last Team

Last Coach

GP

Goals/GAA

Assists/SV%

PTS/W-L

+/-

If recorded

Personal Awards

Areas of Improvement

Strengths of Game

Section 4 - Player Profile (that you want visible online)

Name

Hometown

City, State

Position

W

C

D

G

Height

ex 5-10

Shoot/Catch

Weight

ex. 180

Section 5 - Important

Have you Registered with the USPHL yet?

Yes

No

Must do so before start of season on league site

Do you have a Passport?

Yes

No

Any Medical Issues/Allergies/Injuries + Year

Section 6 - Outfitting

Jacket

Shirt

Shorts

Jersey

Helmet

Gloves

Top3 Jersey # Choices