A PETITIONING FORM

 

ORGANIZATION     ___________________________________________________________                                                                                                      

AGE LEVEL      SQUIRT   PEEWEE   BANTAM     MIDGET 16&UNDER   MIDGET 18&UNDER  

COMPLETED BY AND PHONE NO. ____________________________________________________________                                                                                    

PLAYER’S NAME

DATE OF

BIRTH

LAST YEAR’S CLUB

AGE LEVEL PLAYED LAST YEAR

AA / A / B

IN-HOUSE   06-07

YEARS EXPERIENCE THRU AND INCLUDING 2006-07

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COACH’S

NAME

ACCREDITED

LEVEL

YEARS

COACHING

COACHED

LAST YEAR

AGE LEVEL

COACHED

AA / A / B

IN-HOUSE

 

 

 

 

 

 

 

SEND TO: RICK HARE   120 MONUMENT ROAD   YORK, PA 17403    OR   FAX TO 717-747-0702