This form is required to be completed and submitted in the event a player will be absent from Hockey Weyburn Evaluations. Please ensure to complete each section accordingly as this information is required by the Evaluation Committee.
Your Name *
Your Email *
Age group being evaluated for: *
Previous Hockey Weyburn Team? *
If your previous team was not Hockey Weyburn, what association did this player play with previously? *
Name of Previous coach? *
Email of previous coach: *
Phone number of previous coach: *
Dates the player will be absent from evaluations: *
Reason the player will be absent from evaluations: *
If you answered "Other" as reason for absence, please explain:
Please verify that you are a human.