2009 CNHL Registration

Name (First & Last)
Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Phone (main) - (###) - ### ####
Phone (secondary - optional) - (###) - ### ####
Email
Gender Male Female
Age
Date of Birth / MM / DD YYYY
Position Goalie Forward Defense No Preference
Skill Level A - The highest Level player (travel/ competitive level) B - Mid level player (house league/ pick up level) C - Beginner or lower level player
Have you previously played in the CNHL? Yes No