Prospective Player Form

Please fill out all areas of the form if you are interested in playing for Elmira!

GFA: Prospective Player Form

First Name:

Last Name:

Date of Birth:

Position:

Last Team:

Your Cell Phone:

Your Email Address:

Grade Point Average (GPA) on a 4.0 scale:

ACT/SAT Scores if taken:

Shoot:

Left

Right

Goals Scored per game with last team:

Assists Made per game with last team:

Penalty Minutes per game with last team:

Save Percentage with last team: (If Applicable):

Height:

Weight:

Name of Last Coach:

Phone Number of Last Coach:

Goals/Aspirations:

What makes you interested in playing in Elmira?