Interested Players/Contact Us

Western Connecticut State University Men's Ice Hockey

Interested Players/Contact Us

Have questions/comments or want more information? Contact Head Coach Dave Jurasek at wcsuhockey@earthlink.net or complete the form below.

First Name
Last Name
Email Address
Phone Number
Full Mailing Address
Date of Birth
High School or Current College
Grade Point Average
SAT Math Score
SAT Reading Score
Current Team and Level
Position
Height and Weight
Coach's Name
Coach's Phone Number
Friends or Relatives Attending WCSU
Other colleges you are interested in
Do you play any other sports? If so please list
What Majors are you interested in?
Is there anything else you would like to tell us?