Information

Hastings Scrimmage Request

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Submitter First Name:*

Submitter Last Name:*

Submitter Email:*

Home Team:*

Level:*

Classification:*

Team Color (If Applicable - E.g. Sq C Blue):

Scrimmage Date:*

Scrimmage Start Time (HH:MM AM/PM):*

Scrimmage Duration:*

Rink:*

Additional Information (If Necessary):

Alternate Email 1: