Camp Application

e-mail: ian.macinnis@cornwallcolts.com or phone 613-662-3216

Email the INFO Below to above address

PLAYER NAME:

MOTHER;S NAME\:

FATHER’S NAME

HOME POSTAL ADDRESS:

CITY/TOWN:

PROV. / STATE:

POSTAL CODE:

CELL PHONE #:

HOME PHONE #:

E-MAIL ADDRESS:

PLACE OF BIRTH:

DATE OF BIRTH: Month Day

HEIGHT:

WEIGHT:

POSITION:

SHOOT:

LEAGUE:

COMMENTS;