Wilderness Hockey - Camp Info

WISCONSIN WILDERNESS MAIN CAMP REGISTRATION FORM

COST: $150.00

(Included in cost are dormitories for players)

Click here to download the registration form or enter your information below and pay online with

To register, fill out the form below.

PERSONAL

NAME (LAST)* (FIRST)* (MI)*

ADDRESS* CITY* STATE* ZIP*

HOME PHONE* CELL EMAIL*

PARENT'S NAME* PARENT'S PHONE*

DATE OF BIRTH* HEIGHT* WEIGHT* USA HOCKEY#*

HOCKEY HISTORY

LAST TEAM POSITION SHOT L R

COACH'S NAME COACH'S PHONE LEAGUE

STATISTICS (GAMES)		(GOALS)		(ASSISTS)		(PTS)		(PIMS)
		(GAA)		(SV%)		(SO)

Wisconsin Wilderness Hockey
301 Walnut Street - Spooner - WI 54801
715-635-6144 x23