U21 Interest Form (Welland Minor Hockey)

U21 Interest Form

U21 Interest

Welland Minor Hockey is considering a U21 team for the 2025-2026 Season

To determine if there would be enough interest in a U21 Team in Welland

Please fill out this form

This will allow WMHA to decide if a U21 Team would be feasible

Player Information

Player First Name^*

Required

Please provide full name

Player Last Name^*

Required

Date of Birth^*

Required

Gender^*

Male
Female
Prefer not to say

Required

Position^*

Forward
Defense
Goalie
No Preference

Required

intended player position.

Last team played for?^*

Required

Last team level of Hockey?^*

Required

If Other, please specify:

Contact Information

Parent / Guardian Name^*

Required

Primary Contact Number^*

Required

Example: ###-###-####

Primary Email Address^*

Required

Example: [email protected]. Your submission will be sent to this address.

Home Address^*

Required

Full address including postal code

U21 Interest Form (Welland Minor Hockey)

OMHA Digital Network

Player Information

Contact Information

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