2008 Pittsburgh Bandits Tryout Registration Form
Use Bandits Online Form To Reserve Your Tryout Spot!
Youth Tryouts dates for this form have not been set up yet, if you are interested in the pro & minor team tryouts please see dates and times list on the bandits home page.
Player Information
Players Full Name:
Date of Birth:
Age:
Gender:
Male Female
Address:
City:
State/Province:
Zip/Postal Code:
Daytime Phone:
Home Phone:
2006 Inline Team
Email:
Parents Names:
Age Division:
Insurance Carrier:
Policy Number:
Jersey Size: PLAYER: Youth Large Adult Small Adult Medium Adult Large Adult XL
PARENTAL CONSENT: I certify that the questions on the application have been answered correctly. I hereby give my consent for my child to participate in the programs operated by Pittsburgh Bandits Hockey Club and/or its proprietors. I further agree that Pittsburgh Bandits Hockey Club will not be held responsible for any accidents, injury or loss, however caused, during the hockey tryout camp attended by my child. This is also my written permission to have my child admitted, and attended to, for medical or dental treatment in case of sickness or injury.
Click here if you agree:
U20 JUNIOR
U18 MIDGET
U16 BANTAM
U14 PEEWEE
U12 SQUIRT U10 MITE
*Pre-registration fee if paid by
*Walk up registration fee on
*Tryout fee is non-refundable
CHECK (Paying by check, print and mail in this form)
REMIT CHECKS TO:
Pittsburgh Bandits Hockey P.O. BOX 857 McMurray, PA 15317 Additional Comments: