Floorball Canada Player Information Sheet

Women's National Team Tryout Form

* Required

First Name *

Middle Name

Last Name *

Date of Birth * yyyy-mm-dd

Club / Organization

Address * Civic Number, Street Name, Apt #

City *

Province *

Postal Code *

Preferred Position

Floorball Experience & Relevant Experience * How long have you been playing? How many tournaments have you played in? Hockey Experience? Other?

Shooting Hand

Phone Number * eg: 705-555-5555

Alternate Phone Number Work or Cell Phone

Email Address * eg: bob@gmail.com

Floorball Involvement click all that apply