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RoughRiders Questionaire

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First Name:*

Last Name:*

Date of Birth:*

Gender:

Male

Female

Unspecified

What is your phone number?:*

Email:*

What is your address?:*

What is your parent(s) name(s)?:

What is your parents email?:*

Parent(s) Phone number::

What position do you play?:*

Forward

Defense

Goalie

What is your height?: Feet: Inches:

What is your weight?:

Current team?:

Who is your current coach?:

Current coach email?:

Current coach phone number?:

Games played:

Goals/Assists if applicable:

PIM:

Save %:

GAA?:

Which tournaments will you be attending?:

What is your recruiting website?:

Favorite three pro hockey players?:

Three best players you have played with?:

Three best players you have played against?: