Kings Ice Hockey Wait List This form is to be submitted to be placed on the wait list for Kings Ice Hockey
Player's Name: (First/Last) *
Player's Date of Birth: *
Parent Name: (First/Last) *
Parent Name: (First/Last)
Address *	Street Address Address Line 2 City State Postal / Zip Code
Phone Number*	###-###-####
Email *

Ice Hockey Playing Experience:
Year	Team	Postion	Coach

Additonal Comments: