SportsEngine Registration: USHL
USHL Player Questionnaire
Welcome
Player Information
Hockey Information
Academic Information
Review
Confirmation
Player Information
First Name:
*
Last Name:
*
Birthdate:
*
January
February
March
April
May
June
July
August
September
October
November
December
1
2
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28
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30
31
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
Height:
Feet:
Inches:
Weight:
Citizen:
*
United States
Canada
Other
Country:
*
Address 1:
*
Address 2:
City:
*
State:
Make Selection
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip:
*
Home Phone:
*
Cell Phone:
*
Email:
*
hidden
Father's Name:
*
Father's Occupation:
Is your father a college graduate:
Make Selection
Yes
No
From which university?:
Mother's Name:
*
Mother's Occupation:
Is your mother a college graduate:
Make Selection
Yes
No
From which university?:
Please list any brothers or sisters and their ages:
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