AAA Tryouts Unique IDParticipant's Name* First Last Birth DateMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Area Association*Please selectAssiniboine Park Hockey AssociationFort Garry North Minor Hockey AssociationLord Selkirk Minor Hockey AssociationRiver East Minor Hockey AssociationSt Boniface Minor Hockey AssociationSt James-Assiniboia Minor Hockey AssociationSt Vital Minor Hockey AssociationSeven Oaks Minor Hockey AssociationSouth Winnipeg Hockey AssociationTranscona Minor Hockey AssociationCommunity Club*AAA Zone*Please selectHawksMonarchsSharksWarriorsBruinsThrashersWildHawks (Lord Selkirk, Seven Oaks, St. James) Monarchs (Assiniboine Park, Fort Garry North, South Winnipeg) Sharks (River East, Transcona) Warriors (St. Boniface, St. Vital) Bruins (St. Boniface, St. Vital, Transcona and River East - South of Oakland/McLeod) Thrashers (St. James - Postal Codes R2R, R2Y, R3E, R3H, Seven Oaks, Lord Selkirk, River East - North of Oakland/McLeod) Wild (Assiniboine Park, Fort Garry North, St. James - Postal Codes R3C, R3G, R3K, R3J, South Winnipeg)Age Group*Please select20002001200220032004Position*Please selectDefenceForwardGoaltenderHandiness*Please selectRight Hand ShotLeft Hand ShotPrevious Team Division*Please selectAAAAAA1A2A3Previous Team Category*Please selectPeeweeMinor BantamBantamMinor MidgetMidgetParent's Name* First Last Email* Release and Consent*I consent to the participation of my son/daughter in the Hockey Winnipeg AAA Try Outs, and I hereby waive and release the Hockey Winnipeg, AAA Council, coaches and instructors from any and all liabilities in regard to personal and bodily injury of every nature whatsoever. I agree and consent to my child's participation. Terms of Service*I understand that until full payment is received my son/daughter's registration is not complete. Refunds Bantam Goaltenders who do not progress past the September 5 & 6 evaluations will be refunded $180. Bantam players who do not progress past the first three hour session will be refunded $140.00 while players who do not progress past the second tryout session will be refunded $70.00 Refunds to players released from the Midget program will be issued on a prorated basis related to the number of hours they remain in the tryout process. Refunds will only be granted to players who are officially released from their team by the Head Coach. Players who leave the program and have not received a release notification, either in writing or verbal, will not be granted a refund. There is a strict No Refund Policy for players who register at any level of the AAA Program and then do not attend. Players who tryout and leave the program before receiving an official release will also be subject to the No Refund Policy. I agree to the Terms of Service Bantam II Price: $ 220.00 CAD Bantam I Price: $ 220.00 CAD City Midget Price: $ 190.00 CAD Quantity: (Tryouts for Hawks, Monarchs, Sharks or Warriors only.)Provincial Midget Price: $ 220.00 CAD Quantity: Tryouts for Bruins, Thrashers, WildTotal $ 0.00 CAD Type of PaymentPlease selectCredit CardChequeBilling Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Credit Card MasterCardVisa Card Number Month010203040506070809101112 Year20172018201920202021202220232024202520262027202820292030203120322033203420352036 Expiration Date Security Code Cardholder Name EmailThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.