FULL NAME:
HOMETOWN:
POSITION & JERSEY #:
NICKNAME & WHY
What college are you going to  / or
would like to attend:
What would you like to do when you
finish college or high school:
Who do you try learn from by watching TV
and applying to your game and why:
What is your strength in hockey:
What do you need to work on to take it
to the next level:
What club team do you play for and
what other sports do you play:
Do you have any family members that
played hockey / other sports what level
did they play to:
Do you have any superstitions:
What is the hardest thing you had to
overcome in life:
Parent (If child is under 18)
Please type your name if you will
allow your child¹s image to be on
television, Youtube and on the
website for vipsouthjersey.com:
PLEASE FILL OUT ORDER FORM BELOW!
Please fill out in detail. The more detail you put the better chance you
have of being talked about during the broadcast on television. Thank you.

This form helps the announcer learn more about your child, so he can
go into detail about that specific player.