Tryouts

   

                                                                                                           

 

              JUST ADDED!  2013 Elite Hockey Combine
                              Click Here For Details!

 

Potomac Patriots’ 2013 "First Look" Tryout Camp

April 9th - 16th, 2013

Prince William Ice Center
5180 Dale Blvd
Woodbridge, VA 22193

 

To register for tryouts, please complete the tryout registration form below
and send it, with your registration payment,
to the address on the form.

Ice times for the Potomac Patriots’ "First Look" Tryout Camp

Click Here for Full Schedule Details!
 

Individual Player Interviews
*Only new players passing first cuts will go through the interview process

 

 

Potomac Patriots contracts

will be awarded to individual players

throughout the tryout camp.

 

 

All players must provide a valid 2013-2014 USA Hockey Registration Number

prior to stepping on the ice for tryouts.

Visit www.usahockey.com to register for the 2013-2014 season.

 

Players can register and pay for tryouts online by follwing the directions at this link:

REGISTER HERE!

If you register online please email your registration form to RJ Zeigler at
rzeigler@pwice.com

  2013-2014 Tryout Registration Form 

Player Information
Player Name:_______________________________________ DOB:____________

Street Address:_______________________________________________________

City:_____________________ State:________________________ Zip:__________

Home Phone: __________________Cell: ________________ Other: ____________

Parent’s Name: _______________________________________________________

Health Insurance Provider/Number: _______________________________________

E-Mail1: _____________________________ E-Mail2: ________________________

School Information

Current/Last School: ______________________________________Grad Yr: ______

GPA: ____ Class Rank: ____ SAT: ____ ACT: ____ Total College Cr: _____ (If Any)

Hockey Information

Last Team: ____________________________________ Position: ______________

Last Coach: ____________________________________Coach’s Ph. # __________

Shot/Catch: ___________ Height: _____________ Weight: ___________

Goals: _____ Assists: _____ Pts: _____ PIMS: ______ GAA: ________ SV%: _____

(WAIVER) Upon participating in events sponsored by the Potomac Patriots, I/we agree to abide by the rules of USA Hockey. I/we understand that participation and observation of the sport of hockey constitutes a risk of serious injury, including paralysis or death. I/we voluntarily and knowingly recognize, accept and assume the risk and release the Potomac Patriots and SkateQuest Reston, their affiliates and their sponsors, event organizers and officials from any liability therefore.

______________________________________           __________________________________________ Player Signature                                                                Parent Signature   All players must provide a valid 2013-2014 USA Hockey Registration Number prior to stepping on the ice for tryouts. Visit www.usahockey.com to register for the 2013-2014 season.

 

(TRYOUT FEE - NON REFUNDABLE) $150.00