Player Registration Form

SINGLE PLAYER REGISTRATION - DSKATE MINNESOTA

Dskate Minnesota 2024

PLAYER REGISTRATION FORM

*CONTACT INFORMATION (parent/guardian)

First name

Last name

Address

Phone

Relationship to Participant

Mother

Father

Guardian

*PLAYER INFORMATION (participant)

First Name

Last Name

Birthday

Height

Weight

Gender

Please adjust your sizing selections based on the fact that participants will receive their gear in August 2024. It is recommended that you size up!

T-shirt Size

Hockey Jersey Size

*HOCKEY INFORMATION (participant)

How many years have you played hockey?

Position

Shot

Hockey Category

Hockey Level

What is your skill level?

Current League

Current Team

~DIABETES INFORMATION (participant)

When were you diagnosed?

I manage my T1D via:

If you use CGM, what brand?

If you use a Pump, what brand?

If you are MDI, how many injections per day?

What is your preferred brand of insulin?

~DIABETES MANAGEMENT (participant questionnaire)

On a scale from 1-10, how comfortable are you with your T1D?

On a scale from 1-10, how comfortable are you with your T1D in school?

On a scale from 1-10, how comfortable are you managing your T1D during sport activities?

On a scale from 1-10, how comfortable are you talking about your T1D around friends and family?

Do you have a T1D role model? If so, who?

Please make sure to review all of your registration information, including sizing and verification of birthday/age. Players will receive the sizes provided in this order form and be assigned to their group according to the age you have provided.

Click submit when you are ready; you will receive our welcome email upon submission of this form and you will receive the full welcome kit upon payment or selection of payment plan.

We can't wait to hit the ice with you!

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I agree to the Dskate registration Terms & Conditions

AUGUST 8-11, 2024 AT TCO SPORTS GARDEN

VADNAIS HEIGHTS, MINNESOTA, U.S.A.

Player Registration Form

SINGLE PLAYER REGISTRATION - DSKATE MINNESOTA

Dskate Minnesota 2024