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Prospective Players

Playing junior hockey is one of the most exciting and life-changing experiences in a young players life. In juniors, many players are away from home for the first time. Players improve their skills, grow as athletes and as individuals, and compete in front of large, enthusiastic crowds as they work their way toward their ultimate goals, whether those goals be collegiate or otherwise.

The RoadRunners operate their team like a family. Head Coach Scott Langer has enjoyed great success by building teams with players that have heart, character, and class. If you are a player under the age of 21 and you would like an opportunity to try out for the honor of wearing a RoadRunner jersey in 2011-2012, then please fill out the form below. Take a few moments, answer the questions accurately, and you will be contacted with information regarding our training camps this summer.

The form contains several fields. Please answer as many of the questions as you can. In some cases there are questions that are not applicable. Please skip these questions. The form does contain a few fields marked as (Required). These fields must be completed.

Thank you for your interest in RoadRunner hockey, and we wish you the best of luck!

First Name (Required)

Middle Initial

Last Name (Required)

PERSONAL INFORMATION

Birthdate

mm-dd-yyyy

Height (feet) (Required)

Height (Inches) (Required)

Weight (Required)

Are you a US Citizen? (Required)

If No, please list your Native Country

CONTACT INFORMATION

E-Mail Address (Required)

Address 1

Address 2

City

State

Zip Code

Country

Home Phone (Required)

(xxx) xxx-xxxx

Cell Phone

(xxx) xxx-xxxx

HOCKEY INFORMATION

Current Team (Required)

Team Website

Current League

Coaches Name (Required)

Coaches E-Mail Address (Required)

Please enter your coaches e-mail address

Coaches Phone Number (Required)

(xxx) xxx-xxxx

Position(s) Played (Required)

Center

Right Wing

Left Wing

Defense

Goalie

Best Position

If you picked more than one position above, please tell us which position you feel you are best playing at.

Shot

Sports History

In this area, please list teams you have played for in the last 3 years, as well as Games Played, Goals, Assists, PIMs, etc. Also, please list any other sports you may be involved in, and list any notable accomplishments you'd like us to consider, such as awards or All Star teams.

Level of Interest (Required)

Gage your level of interest in playing for the Topeka RoadRunners next season

Do you have a Family Advisor?

If Yes, which Company/Agency

Family Advisor's Name

Family Advisor's Phone Number

Are you on a Protected List? (Required)

Are you on the protected list of a Canadian Major Junior Team, a USHL Team, or any other NAHL Team

If Yes, please list

FAMILY INFORMATION

Father's Name

Father's Occupation

Is your father a College Graduate?

If Yes, from what College/University

Mother's Name

Mother's Occupation

Is your mother a College Graduate?

If Yes, from what University/College

Brothers and Sisters

Please list any brothers and or sisters and their ages

ACADEMIC INFORMATION

Name of High School

What Grade are you in?

Year of Graduation

Name of Guidance Counselor

Counselor's Phone Number

(xxx) xxx-xxxx

Your Grade Point Average or Percentage

Your Class Rank

ACT Composite Score

SAT Math Score

SAT Verbal Score

SAT Written Score

NCAA Clearing House

Have you applied and had your core classes approved by the NCAA Clearing House?

Your Desired College Major

ADDITIONAL INFORMATION

Rate your opponents

In the following section, please rate your opponents and the team they play for:

Best Forward

Best Forward's Team

Best Defenseman

Best Defenseman's Team

Best Goaltender

Best Goaltender's team

Miscellaneous Notes

In this text area, please list anything else you'd like us to consider.

Thanks for filling out the above form. The e-mail address you provided will be how we send you information regarding our program.

Best wishes,

The Topeka RoadRunners

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