Play For The Jr. Blues

Please complete the Prospect Player Form below in order for your information to enter into our Prospective Player Database.

NOTE: This is the best method of submitting your information as it goes directly to the coaching staff and into our database. Thank you.

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Player Contact Information

Player First Name *

Player Last Name *

Player's Birthdate *

Player's Phone Number (Cell) *

Player's Email Address *

Country *Select CountryUnited StatesCanadaOther

Street Address *

Additional Street Address

City (United States) *

State (United States) *Select State (United States)AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip Code (United States) *

City (Canada) *

Province/Territory (Canada) *Enter Province/Territory (Canada)AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon

Postal Code (Canada) *

Country (Other) *

City (Other)

State (Other)

Postal Code (Other)

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Player Profile Information

Position *Select PositionForwardDefenseGoalie

Shoots *Select ShotLeftRight

Catches *Select Catching HandLeftRight

Height *Select Height5'0"5'1"5'2"5'3"5'4"5'5"5'6"5'7"5'8"5'9"5'10"5'11"6'0"6'1"6'2"6'3"6'4"6'5"6'6"6'7"6'8"6'9"6'10"6'11"Choice 28

Weight *Select Weight150151152153154155156157158159160161162163164165166167168169170171172173174175176177178179180181182183184185186187188189190191192193194195196197198199200201202203204205206207208209210211212213214215216217218219220221222223224225226227228229230231232233234235236237238239240241242243244245246247248249250

Elite Prospects Profile Link

Last Season's Team Name *

Last Season's Team League Name *

Last Season's Team Level of PlaySelect Last Season's Team Level of PlayTier II (AA, A)Tier I (AAA)Tier III Junior AOther

Last Season's Team Level of Play (Other) *

Last Season's Team Head Coaches Name *

Last Season's Team Head Coaches Phone Number (Cell) *

Last Season's Team Head Coaches Email Address *

Last Season Statistics (Forwards/Defense)

Total Games Played

Goals

Assists

Total Points

Total Penalty Minutes

Plus/Minus

(Enter '-##' or '##' format)

Last Season Statistics (Goalies)

Total Games Played

Wins

Losses

Ties

Goals Against Average

(Enter as '1.00' format)

Save Percentage

(Enter as '.945' format)

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Parent/Guardian (1) Contact Information

Parent/Guardian's First Name (1) *

Parent/Guardian's Last Name (1) *

Parent/Guardian's Phone Number (Cell) (1) *

Parent/Guardian's Email Address (1) *

Parent/Guardian (1) Address Same As Player? *

• Yes
• No

Parent/Guardian (1) Country *Enter Parent/Guardian (1) CountryUnited StatesCanadaOther

Parent/Guardian (1) Street Address *

Parent/Guardian (1) Additional Street Address

Parent/Guardian (1) City (United States) *

Parent/Guardian (1) State (United States) *Select State (United States)AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Parent/Guardian (1) Zip Code (United States) *

Parent/Guardian (1) City (Canada)

Parent/Guardian (1) Province/Territory (Canada) *Enter Parent/Guardian (1) Province/Territory (Canada)AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon

Parent/Guardian (1) Postal Code (Canada) *

Parent/Guardian (1) Country (Other) *

Parent/Guardian (1) City (Other)

Enter Parent/Guardian (1) State (Other)

Parent/Guardian (1) Postal Code (Other)

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Parent/Guardian (2) Contact Information

Parent/Guardian's First Name (2) *

Parent/Guardian's Last Name (2) *

Parent/Guardian's Phone Number (Cell) (2) *

Parent/Guardian's Email Address (2) *

Parent/Guardian (2) Address Same As Player? *

• Yes
• No

Parent/Guardian (2) Country *Enter Parent/Guardian (2) CountryUnited StatesCanadaOther

Parent/Guardian (2) Street Address *

Parent/Guardian (2) Additional Street Address

Parent/Guardian (2) City (United States) *

Enter Parent/Guardian (2) State (United States) *Select Parent/Guardian (2) City (United States)AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Parent/Guardian (2) Zip Code (United States) *

Parent/Guardian (2) City (Canada)

Parent/Guardian (2) Province/Territory (Canada) *Enter Parent/Guardian (2) Province/Territory (Canada)AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon

Parent/Guardian (2) Postal Code (Canada) *

Parent/Guardian (2) Country (Other) *

Parent/Guardian (2) City (Other)

Parent/Guardian (2) State (Other)

Parent/Guardian (2) Postal Code (Other)

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Academic Information

Year in School: *Select Year in SchoolFreshmanSophomoreJuniorSeniorPost-Grad/Prep SchoolCollege

High School Name *

Prep School Name *

College Name *

Year in School (College) *FreshmanSophomoreJuniorSenior

Grade Point Average (GPA) *

ACT Test Score (If Taken)

SAT Test Score (If Taken)

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Hockey Goals

What are your goals in hockey? *

Why do you want to play for the St. Louis Jr. Blues?

Please include any additional information or links to video of your play that is available online.

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