Janosz School of Goaltending

SHOOTERS REGISTRATION FORM
**REGISTRATION AGE RESTRICTED TO 1994 BIRTH YEAR & OLDER**
PLEASE FILL FORM OUT IN FULL & CLICK "SEND BUTTON"

"CLICK HERE" To print out form, *Fill in all Fields* & Mail

Personal Information:

First Name:
Last Name:
Date of Birth (mm/dd/yyyy):
Current Playing Level & Team / Org:
Shot: Right / Left:

Mailing Address:
Street:
City: State: Zip:
Phone #:
Email Address:

Profile Questionnaire (please briefly answer the following questions)
What are your goals for your hockey career?

What is the main reason you applied to be a JSG shooter?

Will you meet the requirements of reporting to camp & being on-time each day?

Will you be able to shoot according to the age & skill level of the goaltenders participating?

**If you are selected you will be notified via email.**
**A JSG Shooters contract will be sent to the mailing address supplied on this form.**