Performax Hockey Captain's Form

Team Name*

Sponsor

Captain's Name*

First Last

Assistant Captain's Name

First Last

Assistant Captain's Name

First Last

Preferred Division*

Preferred Night (1st Choice)*

American & Beta Divisions typically play on Monday, Tuesday, or Wednesday. Sportsman & Club Divisions on Thursday, Friday, or Sunday.

Preferred Night (2nd Choice)*

Preferred Night Off*

Preferred Time (1st Choice)*

Preferred Time (2nd Choice)*

Home Jersey Colors*

Away Jersey Colors*

Social Media Accounts

Need Apparel?

If yes, please provide more detail.

Include apparel type, colors, sizes, budget, and any additional info.

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