Team USA Ringette: Intent to Play Form 2017 World Ringette Championship Mississauga, ON, Canada, Nov. 27 – Dec. 3 Name: ___________________________________________ Age (16 or older): ________ Eligibility (Circle one): 1. American Citizen, played for Team USA previously, work or student in USA 2. Parent(s), grandparent(s) are/were American citizens. 3. Specific commitment to help develop ringette in the USA this year (if 1 or 2 do not apply) Player Information Birth Date: ____________ Ringette Team & level played with in 2016-17: _______________________________ Positions played: ____________________________ Other related experience: ____________________________ ____________________________________________________________________________________________ Address: ______________________________________________Home phone: ____________________ Email address: _______________________________________ Cell Phone: _______________________ WRC Requirements The 2017 World Ringette Championship (WRC) is in Mississauga, Ontario, Canada from Monday, November 27/17 to Sunday, December 3/17. Team USA players should plan to arrive November 24 for a training camp in the Toronto area prior to WRC , including practices and an exhibition game. Details will be finalized once final team selections have been made. Are you available for the following?: Worlds from November 24, 2017 – December 3, 2017 Yes: _____ No: _____ Selection/Tournament: April 28-30/17 in Bay City Area, Michigan: Yes:___ No:___ Final Selection/Training Camp, July 28-30/17: Yes: ______ No: _____(Location to be determined.) Games in Ontario, October 13-15/17: Yes: ______ No: _______ If you are interested in committing to play with Team USA, please return this form along with a non-refundable registration fee in the amount of $150 USD (or Canadian Equivalency) to Phyllis Sadoway. Payment can be made via etransfer or check made out to: Team USA % Phyllis Sadoway (email Phyllis for mailing address). Feel free to contact us with any questions. Thank you for your interest! Phyllis Sadoway & Beth Veale Coaches,Team USA 2017 E: [email protected] P: 780-383-2140 [email protected] www.teamusaringette.com Like us on Facebook: Team USA Ringette 1
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