Wilkes-Barre/Scranton Junior Knights

Player's Name
Date of Birth	-- mm/dd/yy

Parents' Name(s)
Street Address
Address (cont.)
City
State
Zip
Home Phone
Cell Phone (1)
Cell Phone (2)
Parent's E-mail (1)
Parent's E-mail (2)

• Choose the level your son/daughter will play in the upcoming season:

  Select One Atom - Birth Year 2002 Mite - Birth Years 2000 and 2001 Squirt - Birth Years 1998 and 1999 PeeWee - Birth Years 1996 and 1997 Bantam - Birth Years 1994 and 1995 Midget U18 - Birth Years 1990, 1991, 1992 and 1993
  

• What position(s) does your son/daughter prefer to play:

  Forward
  Defense
  Goalie

• Did your son/daughter play for the Junior Knights in the 2007-2008 season?

    Yes No
  

• Which team?

  Select One Did not play for Jr. Knights last year Mite Squirt White Squirt Blue Squirt Silver Pee Wee White Pee Wee Blue Pee Wee Silver Bantam White Bantam Blue Bantam Silver Midget U16
  

• New players only -- Jersey Number Request

  First Choice         Second Choice            Third Choice