Red Wings CHAMPIONS 1984 CHAMPIONS 1994-1995-1997-1998-2001 1994-1997-1998-2001 SJHL CHAMPIONS ANAVET CUP CHAMPIONS

WEYBURN RED WINGS Spring Camp - March 30th to March 31st, 2019 PLEASE PRINT YOUR INFORMATION AND RETURN THIS FORM BY FAX, MAIL OR DROP OFF AT THE RED WING OFFICE BY March 25th 2019 PLAYER INFORMATION FIRST MIDDLE LAST DATE OF BIRTH WT HT NAME STREET CITY STATE/PROVINCE POSTAL/ZIP CODE ADDRESS HOME CELL E-MAIL PHONE FATHER NAME AND PHONE NUMBER MOTHER NAME AND PHONE NUMBER E-MAIL PARENT CONTACT Personal EMAIL HEALTH PLAN NUMBER

MEDICAL OR INJURY PROBLEMS: ATHLETIC INFORMATION BEST POSITION SECOND BEST POSITION SHOOT/CATCH

GP GOALS ASSISTS POINTS PENALTY MINUTES

GOALIE GP AVERAGE SAVE PERCENTAGE

LAST TEAM PLAYED FOR LEAGUE YEAR

MANAGER’S PHONE COACH’S NAME COACH’S PHONE NUMBER MANAGER’S NAME NUMBER

ACADEMIC INFORMATION HIGH SCHOOL NAME ADDRESS CITY

PHONE NUMBER GRADE COMPLETED AVERAGE MARK ACT SCORE SAT SCORE

REGISTERED IN NCAA ELIGIBILITY CENTER? YES NO HAVE YOU PLAYED ANY MAJOR JUNIOR HOCKEY? YES NO

CONTACTED BY ANY NCAA TEAMS YES NO WHAT TEAMS? If “no”, please ATTENDING RED WINGS SPRING CAMP? YES NO state your intentions: SELF EVALUATION – RATINGS 1 – Poor, 2 – Below Average, 3 – Average, 4 – Good, 5 – Very Good, 6 - Excellent

Skating Speed Hitting Grit Offense Defensive Play

Goalies: Use of Stick Rebounds Set Ups Glove Communication Penalty Kill Power Play Shot Puck Handling Desire Work Ethic

Off Ice Behavior Character Dressing Room Conditioning/Training Team Player

***Registration: Saturday, March 30th , 2019 ---1:30 pm-2:00 pm in Crescent Point Place lobby. ***A $140.00 Camp Registration Fee This payable by Cheque, Visa, Mastercard or Debit. Please reply by March 25th, 2019

* P.O. BOX 1112, WEYBURN, SK S4H 2L3 * BUSINESS (306)842-2212 * GM/COACH (306)848-3750 * FAX (306)842-3717 E-MAIL: [email protected] WEBSITE: www.weyburnredwings.ca