2016-2017 Secaucus Patriots Hockey Application
Welcome to the 2016-2017 season for the Secaucus Patriots. We will be fielding Independent teams within the Atlantic District at the Mite, Squirt A, Peewee AA, and Bantam A/B levels. Evaluation skates / tryouts for Peewees and Bantams will be held on April 18th and April 20th at Floyd Hall Arena. All players must be registered with USA Hockey. Once the application is completed and the payment has been received, the player can proceed onto the ice.

Cost (for both sessions):
$40 pre-registered / $50 day of the tryout

Location:
Floyd Hall Arena
28 Clove Rd
Little Falls, NJ 07424

Dates:
Monday, April 18th
Peewees 6:30 pm – 7:30 pm (Check-in 6:00 pm)
Bantams 7:30 pm – 8:30 pm (Check-in 7:00 pm)

Wednesday, April 20th
Bantams 6:30 pm – 7:30 pm (Check-in 6:00 pm)
Peewees 7:30 pm – 8:30 pm (Check-in 7:00 pm)

Please submit this application and send your non-refundable tryout fee to:

Secaucus Recreation Center (Attn: Mary Miller)
1200 Koelle Blvd
Secaucus, NJ 07094

All checks must be received by April 8th and made payable to the 'Town of Secaucus'. Place your child's name and the level your child is trying out for in the Notes section of your check. Please e-mail secaucushockey@gmail.com for any questions or concerns.

* The Secaucus Patriots will not allow players to be registered on more than one official USA Hockey 1-T roster with the exception of girls playing on a secondary all girls team.


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Player's Name *
Date of Birth *
MM
/
DD
/
YYYY
Parent / Guardian Name *
Address *
City *
State *
Zip Code *
Home Phone Number *
Cell Phone Number *
Email *
Last Level Played (2015-2016 Season) *
Last Team Played For (2015-2016 Season) *
Last Position Played (2015-2016 Season) *
Height *
Weight *
Shoots
Age Group Trying Out For *
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