Please fill out our player recruitment form as accurately as possible. Once reviewed you will be contact by phone or email by a Belle River Canadiens representative to further discuss your application.

	PLAYER RECRUITMENT APPLICATION
	First Name: Last Name: Email: Invalid! Email Re-type: Emails don't match Home Phone: () Invalid format. 3 numbers please. 3 numbers please. Invalid format. 3 numbers please. 3 numbers please. Invalid format. 4 numbers please. 4 numbers please. Address: City: Postal Code:	Position: Current Team: Height:     Weight:  Shoots: Left Right Age: Date of Birth: (DD/MM/YYYY) Additional needs or requests: Prove You're Human: (type the code your see below) Security Code required. ** Click image to generate a new code