photoshoot form hockey

photo shoot registration

Photo Shoot Form

- Step 1 of 3

Please select the sport in which you are interested below:

Which sport books are you interested in purchasing?:* You may select only one sport at a time

Boys or Girls registration?: *

Boys' Hockey
Girls' Hockey

Name *

First

Last

How is your name pronounced? :

Phonetic spelling, such as: Coal-uh-mine-in for Kolehmainen

Player Email: *

Player Cell Phone:

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Yes, I'd like to receive updates via text:

X / Twitter username:

Instagram username:

TikTok username:

Date of Birth:

I authorize Breakdown Sports Media to use my child's birthdate in the annual Breakdown calendar.:

The birth date will only be listed by the day and month, not the year. Breakdown Sports Media is not liable or responsible for any contacts made by persons who may see this birthday.

College scouting report data

I authorize Breakdown Sports Media to release my contact information and other data to interested college coaches. This information will enhance the scouting reports already published in the book, but will not be available to any other parties.:

Note: the Breakdown is not liable or responsible for further contact between parties as a result of providing this information.

PLAYING STATS

Career goals?

Career Assists?:

Career Points?:

For goalies: Career W-L-T record?:

For goalies: Career GAA?:

For goalies: Career SV%?:

PHYSICAL STATS

High school position(s): *

You may check more than one box

Graduation year?: *

Height: *

Feet / Inches

Weight:

Feet / Inches

Shoots?:

Right
Left

SCHOOL / OTHER STATS

Updated overall grade point average?:

Current ACT score (if applicable)?:

Current SAT score (if applicable)?:

Academic interests (what might be your course of study in college)?:

Have you committed to a college basketball program? If so, which program?:

Parent/Guardian Information

do is you

Parent/Guardian First Name:

First

Last

Parent/Guardian 2 First Name:

First

Last

Phone

Phone 2:

Email Address 1:

Email Address 2:

AAU/High School contacts

High school: *

AAU program name:

High school coach name: *

AAU coach:

High school coach email: *

AAU coach email:

High school coach cell phone: *

AAU coach cell phone:

Media information

Local newspaper/media name:

Local newspaper/media email:

If you wish to send a press release on your recognition to your local media, we have provided a blank template below. Please follow these steps:
1: download the Word template
2: complete the blank fields (name, school, sport)
3: save to your computer
4: email or print and give to your local media outlets

Breakdown press release template

Please fill out our Press Release Form

Question and Answer

Give me a short scouting report on yourself as a player. What are your strengths?:* *

Can you tell us one unusual thing about yourself that others may not know (hobbies, favorites, nicknames, etc.)?: *

What's the best part of playing high school hockey and why?: *

Tell me about the outlook for your team this year. What are the strengths of your team?: *

What other activities are you involved in at the high school level?: *

What type of training do you do in the offseason for hockey?: *

Just for fun!

We're using these questions to create fun opinion polls on the upcoming season that will appear in the book. Your participation is completely voluntary and the answers will be compiled anonymously.

What team do you feel is the favorite to win your section?:

What team do you feel is the favorite to win state in your class?:

Registration Options

Date and Location: *

12-4 p.m., Saturday, Jan. 4 at Duluth East HS
12-4 p.m., Sunday, Jan. 5 at Mt. Iron-Buhl HS
5-9 p.m., Wednesday, Jan. 8 at Walker-H-A HS
12-4 p.m., Saturday, Jan. 11 at Perham HS
12-4 p.m., Saturday, Jan. 11 at Rosemount CC
5-9 p.m., Wednesday, Jan. 15 at Marshall HS
1-5 p.m., Saturday, Jan. 18 at St. Peter Rec Center
12-4 p.m., Sunday, Jan. 19 at Stewartville (Bear Cave Intermediate)
12-4 p.m., Monday, Jan. 20 at Strike Zone in Eagan (softball only)
2-5 p.m., Saturday, Jan. 25 at Blizzard Academy in Vadnais Heights (baseball only)
2-5 p.m., Sunday, Jan. 26 at Great Lakes Academy in Woodbury (baseball only)
5-9 p.m., Wednesday, Jan. 29 at Menahga HS
12-4 p.m., Saturday, Feb. 1 at STMA HS
12-4 p.m., Sunday, Feb. 2 at Roseville Ice Center
12-4pm., Sunday, Feb. 2nd at Thief River Falls HS
5-9 p.m., Wednesday, Feb. 5 at Moorhead HS
12-4 p.m., Saturday, Feb. 8 at Alexandria HS
12-4pm., Saturday, Feb 8 at Thief River Falls High School
10 a.m.-2 p.m., Saturday, Feb. 15 at Scheels in St. Cloud (baseball and softball only)
10 a.m.-2 p.m., Sunday, Feb. 16 at Scheels in St. Cloud (baseball and softball only)
10 a.m.-4 p.m., Sunday, Feb. 16 at Minnetonka HS
12-4 p.m., Saturday, Mar. 1 at Apple Valley community center (volleyball only)
2:30-6:30pm., Sunday, Mar. 2 at Maple Grove community center (volleyball only)
10 a.m.-2 p.m., Sunday, Mar. 9 at Scheels in St. Cloud (volleyball only)
Can't attend any date

REQUIRED: Below is a link for you to do the following:

1. sign up for a specific 5-minute time window for the shoot for which you registered above.
This step must be followed for your registration to be complete.

Click here to open booking form in a New Tab

Did you book your 5minute photo shoot time slot?: *

Do you wish to order a book? *

Do you wish to order the full gallery/digital download of all your photo shoot images, available about a week after your shoot, for $50?:

Yes ($52.98 if paid in full upfront)
No

Order additional books at a discount!

Additional Books: *

Yes, softcover
Yes, hardcover
No

Girls' Additional Softcover Book Fee:

1 ($73.55 if paid in full upfront)
2 ($145.60 if paid in full upfront)
3 ($217.65 if paid in full upfront)
4 ($289.70 if paid in full upfront)
5 ($361.75 if paid in full upfront)

Guys' Additional Softcover Book Fee:

1 ($73.55 if paid in full upfront)
2 ($145.60 if paid in full upfront)
3 ($217.65 if paid in full upfront)
4 ($289.70 if paid in full upfront)
5 ($361.75 if paid in full upfront)

Girls' Additional Hardcover Book Fee:

1 ($94.14 if paid in full upfront)
2 ($186.78 if paid in full upfront)
3 ($279.42 if paid in full upfront)
4 ($372.06 if paid in full upfront)
5 ($464.70 if paid in full upfront)

Guys' Additional Hardcover Book Fee:

1 ($94.14 if paid in full upfront)
2 ($186.78 if paid in full upfront)
3 ($279.42 if paid in full upfront)
4 ($372.06 if paid in full upfront)
5 ($464.70 if paid in full upfront)

Address

The book will be shipped to the address entered below, so please make sure it is correctly entered. *

Yes ($11.80 if paid in full upfront)

Shipping Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Total *

Item Quantity Total

There are no products selected.

Do you wish to order the full gallery/digital download of all your photo shoot images, available about a week after your shoot, for $50?: - Yes ($52.98 if paid in full upfront) 1 $52.98

Do you wish to order the full gallery/digital download of all your photo shoot images, available about a week after your shoot, for $50?: - No 1 $0.00

Girls' Additional Softcover Book Fee: - 1 ($73.55 if paid in full upfront) 1 $73.55

Girls' Additional Softcover Book Fee: - 2 ($145.60 if paid in full upfront) 1 $145.60

Girls' Additional Softcover Book Fee: - 3 ($217.65 if paid in full upfront) 1 $217.65

Girls' Additional Softcover Book Fee: - 4 ($289.70 if paid in full upfront) 1 $289.70

Girls' Additional Softcover Book Fee: - 5 ($361.75 if paid in full upfront) 1 $361.75

Guys' Additional Softcover Book Fee: - 1 ($73.55 if paid in full upfront) 1 $73.55

Guys' Additional Softcover Book Fee: - 2 ($145.60 if paid in full upfront) 1 $145.60

Guys' Additional Softcover Book Fee: - 3 ($217.65 if paid in full upfront) 1 $217.65

Guys' Additional Softcover Book Fee: - 4 ($289.70 if paid in full upfront) 1 $289.70

Guys' Additional Softcover Book Fee: - 5 ($361.75 if paid in full upfront) 1 $361.75

Girls' Additional Hardcover Book Fee: - 1 ($94.14 if paid in full upfront) 1 $94.14

Girls' Additional Hardcover Book Fee: - 2 ($186.78 if paid in full upfront) 1 $186.78

Girls' Additional Hardcover Book Fee: - 3 ($279.42 if paid in full upfront) 1 $279.42

Girls' Additional Hardcover Book Fee: - 4 ($372.06 if paid in full upfront) 1 $372.06

Girls' Additional Hardcover Book Fee: - 5 ($464.70 if paid in full upfront) 1 $464.70

Guys' Additional Hardcover Book Fee: - 1 ($94.14 if paid in full upfront) 1 $94.14

Guys' Additional Hardcover Book Fee: - 2 ($186.78 if paid in full upfront) 1 $186.78

Guys' Additional Hardcover Book Fee: - 3 ($279.42 if paid in full upfront) 1 $279.42

Guys' Additional Hardcover Book Fee: - 4 ($372.06 if paid in full upfront) 1 $372.06

Guys' Additional Hardcover Book Fee: - 5 ($464.70 if paid in full upfront) 1 $464.70

The book will be shipped to the address entered below, so please make sure it is correctly entered. - Yes ($11.80 if paid in full upfront) 1 $11.80

Total $0.00

$0.00

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