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Is A Full Season of Prep School Hockey in Your Future?

If you are interested in playing for the Boston Shamrocks Hockey Academy at Pope John XXIII High School Boys FULL Season U16 Tier 1 AAA National Level Team please complete and submit the following Prospective Student-Athlete Preliminary Questionnaire. A member of the BSHA staff will review your responses and contact you shortly.

Prospective Student-Athlete Preliminary Questionnaire

Name *
Date of Birth *
Address *
City *
State/Zip *
Applicant's Phone *
Applicant's Cell Phone
Applicant's Email Address *
Parent's/Guardian's Name *
Relationship to Applicant *
Parent's/Guardian's Phone *
Parent's/Guardian's Email *
2nd Parent's/Guardian's Name
Relationship To Applicant
2nd Parent's/Guardian's Phone
2nd Parent's/Guardian's Email
Hockey Information
Current Team *
League *
Level *
(Div. 1, Div. 2, Tier 1, Tier 2, AAA, AA, etc.)
Shot *
Position *
Height *
Weight *
Games Played
Penalty Minutes
Goalie - GAA
Goalie - Save %
Hockey Honors/Awards
Grade Applying For *
Residential Intentions *
Current School *
Current School Location *
City *
State/Zip *
Type of Current School *
Current Grade *
Class Rank
(# of #)
HSPT, SSAT, PSAT, SAT/ACT, etc. Score(s)
(Indicate date taken, test & score of each standardized test taken)
Scholastic Honors/Awards
Personal Goals
Non-Hockey Interests
Please Note Anything More You Would Like BSHA To Know About You.
Please leave blank