Wufoo

Prospective Players

Please fill out this form to begin receiving informational emails / phone calls from the team

Name First Last
Phone Number - (###) - ### ####
Cell Phone if Possible
Primary Email
Home Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Playing Experience

Previous Teams / Years Played
Positions Played
Forward Defense Goaltender

Check all that apply
Are you a UC Student? *
Yes, I am currently enrolled full time No, I will be enrolled for the 2008-09 season No, I will be enrolled for the 2009-10 season No, I am requesting information
Have you applied / been accepted to UC? *
I am already enrolled Yes I have applied, and I have been accepted Yes I have applied, but I have not yet been accepted No, I have not applied, but I am in the process of applying No I have not applied.
Most recent coaches name *
Most recent coaches phone number - (###) - ### ####
Do Not Fill This Out