Jersey Selection Form
Registration must be completed and jersey must be paid for prior to making jersey selection.
If you player has an even birth year you must select an even number. (ex 2008--- 2, 4, 44, 98)
Please do not select the number 50 as this is saved for association use only
The board has decided we will not be using #99 out of respect for the Great One!

Jersey Cost is $140 
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Contact Email *
Players Last Name *
Players First Name *
Player Division (2023 - 2024 Season) *
Last Name to Appear on Jersey *
Jersey Size *
Jersey Number Selection Instructions
Player with an even birth year MUST select an even number

Players with an odd birth year MUST select and odd jersey number

Jersey selection is based on registration being fully paid prior to jersey selection

Please do NOT select #50 or #99
Jersey Number Request 1st Choice *
Jersey Number Request 2nd Choice *
Jersey Number Request 3rd Choice *
Submit
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