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
*
BC
AB
SK
MB
ON
QC
NB
NS
NL
PE
YK
NT
NV
Postal Code
*
Preferred Position
Goaltender
Defence
Wing
Centre
Floorball Experience & Relevant Experience
*
How long have you been playing? How many tournaments have you played in? Hockey Experience? Other?
Shooting Hand
Left
Right
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
Supporter
Administrator
Referee
Coach
Player