2026 Player Draft Form

Fields marked with an * are required.

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Player Name:

First Name

Last Name

Current School Attending:

Current Report Card

This must show the players name, current date, grade and school.

Proof of Home Address

Position:

Defense Forward Goaltender

(Check all that apply.)

Parent(s) Name:

First Name

Last Name

Email:

Phone:

$200 Non-Refundable Deposit

YES

I understand I must send in the $200 non-refundable fee to MOIHA P.O. Box 254 Warrenton, MO 63383 to activate my draft eligibility and that there is NO guarantee where this draft player will be assigned.

Comments/Playing Experience

Please state None if you have no comments

Payment

Discount

Subtotal

Tax

Total USD