FLORIDA EELS 2015 REGISTRATION FORM FOR THE

PRO AM NHL PREDRAFT SHOWCASE

MAY 8th – 10th, 2015

 

 

 

 

Name:__________________________________________      Cell Phone:____________________

 

Parent/Guardian Name:___________________________       Cell Phone:______________________

 

Address:________________________________________________________________________

 

City:___________________________________________ State:________ Zip Code:___________

 

Date of Birth:____________ Graduation Year:________ School Attending:___________________

 

Player Email:________________________________  Parent Email:_________________________

 

Last Team Played For:______________________________________________________________

 

Level:    _____________A A              ______________AA A                                 ____________Juniors

 

Position:   Goalie       L Defense         R Defense          Right Wing        Left Wing                  Center

 

Height:__________________     Weight:________________ Shot:________   Glove:____________

 

Statistics:      Goals:________  Assists:_________  Penalty Minutes:_________   GAA:___________

 

The cost of the tournament is $250.00. All players are responsible for their own transportation, lodging, and meals.  Please remit your payment to the address listed below.  All checks should be made payable to the FLORIDA EELS.

 

Frank Scarpaci

2712 NW 45th Place

Cape Coral, Florida 33993