NORTHERN ICE TRYOUT PROFILE FORM

First Name: Last Name:
Email: Phone:
Address: Apt/Ste:
City: St:   Zipcode:  
Birthdate (MM/DD/YYYY):  Example: 03/08/1992
Primary
Position: 		Secondary Position:
Bats: Throws:
Previous Summer Teams
Years Playing Travel Ball: Year in School:
School Attending: GPA: