Player Registration Form ▼ EXPAND Complete Registration Ensure all details are accurate for the upcoming season Select Player Name -- Select Name -- Mattia Roncoroni Kai Pack Smith Enzo Rosen Samuel Derrickson Lincoln de Man Layne Comer Tyler Pesimo Isaac Iranzi Oliver Ocampo Ryu Tawara Team Have you played Junior Coyotes Club Basketball before? Yes, I am a returning player No, I am a new player Do you have a reversible Coyotes game jersey from a past season? Yes No Current Jersey Number: Current Jersey Size: Does it still fit? Yes No New Jersey Order Size Needed: Select Size Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Top 3 Number Choices (Preferred Order): 1. 2. 3. Do you have Coyotes game shorts? Yes No Current Size: Do they still fit? Yes No What size shorts do you need? Select Size Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Optional Gear Selection No Optional Gear (+$0) Practice Shorts Only (+$20.00) Hoodie Only (+$37.00) Champions Backpack Only (+$40.00) Hoodie & Practice Reversible Jersey Package (+$50.00) Practice Shorts, Hoodie & Practice Reversible (+$65.00) All of them: Backpack, Shorts, Hoodie & Reversible (+$90.00) Player Birthdate Month January February March April May June July August September October November December Guardian 1 Name Guardian 1 Email Guardian 2 Name (Optional) Guardian 2 Email (Optional) Total Amount Due: $1,075.00 SUBMIT REGISTRATION Thank You! Total Amount Due $0.00 Please send the payment through Interac e-Transfer to: andrew@juniorcoyotes.com