2012 Tournament Application

**absolutely no refunds given**

please print, fill out & send in with payment ( please print clearly )
Ohio Prospects
P.O. Box 181580
Cleveland Heights, Ohio 44118

 

Name __________________________________
Address __________________________________
__________________________________
Phone # __________________________________
Alt. Phone # __________________________________
eMail (very important) __________________________________
Parents Names __________________________________
Date of Birth __________________________________
Height __________________________________
Weight __________________________________
Position __________________________________
School __________________________________
Last Team/Division Level 2011-2012 __________________________________
Statistics: Goals ________ Assists ________ GAA _________ SV% _________
Projected Team for 2012-2013 __________________________________

 

*** Application must be complete. Incomplete applications will not be accepted.

*** Fee must accompany application for acceptance.