Player Information Form
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3Player Information Form
Information used in this form will be used to distribute information to the player and parent(s). Please be thorough. This information will
only be shared with interested scouts or schools. Some information may be included in our media guide.
Player Information (Player Info Only Please!)
Full Name:
Date:
Last
First
M.I.
Address:
Street Address
Apartment/Unit #
City
State/Province
ZIP/Postal Code
Phone (Home):
(
)
Phone (Cell):
(
)
Phone (Work):
(
)
E-mail Address:
Twitter:
Facebook:
Circle Any
Circle one
LW C RW D G
LEFT / RIGHT
Height
Weight
Birthplace
Position
Shot
DOB
Age
Please provide a short paragraph about yourself and your hockey history, interests, and goals. For instance why do you wish to
Short Bio:
play in Eugene? What is your passion for the game? Where do you see yourself in 1-2, 3-4, and 4-5 years. Information on this form
may be used to complete our media guide. Please be thorough.
Question:
Please provide a short description of your most memorable moment. This does not need to be hockey related and could have taken
place at any period in the past.
Please provide your favorite quote, not necessarily of a hockey player.
Quote:
Form Version 1.2 Revised August 4, 2015.
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Parent category: Miscellaneous