Team Rostering Form

Team Manager Name

Phone

Team Name

Division of Play

Player 1 Name & DOB

Player 1 USA Hockey Number

Player 1 - Guardian, Phone #, & Email

Player 2 Name & DOB

Player 2 USA Hockey Number

Player 2 - Guardian, Phone #, & Email

Player 3 Name & DOB

Player 3 USA Hockey Number

Player 3 - Guardian, Phone #, & Email

Player 4 Name & DOB

Player 4 USA Hockey Number

Player 4 - Guardian, Phone #, & Email

Player 5 Name & DOB

Player 5 USA Hockey Number

Player 5 - Guardian, Phone #, & Email

Player 6 Name & DOB

Player 6 USA Hockey Number

Player 6 - Guardian, Phone #, & Email

Goalie Name & DOB

Goalie USA Hockey Number

Goalie - Guardian, Phone #, & Email

ELITE PLAYERS & TEAM COMPOSITION

ELITE PLAYERS & TEAM COMPOSITION

Please select that best describes the make up of your team. AAA players will play up a year from their age dvision (NO EXCEPTIONS). Teams will be placed in the division of the highest-level player (per director approval).

What association is your team from? If mixed team, please list all.

Travel Teams, please list what level(s) (Howe 1, Howe 2, Yzerman, etc.). House Teams, please list House.