Registration

Please register on a computer not a phone

Participant Name(Required)

First Last

Grade going into next year (2024-25)(Required)

School(Required)

Participant can play goalie?(Required)

Please realize this is a season long commitment.

Has the participant played in the hockey league before?(Required)

Parent #1 Name(Required)

First Last

Parent #1 Cell(Required)

Parent #1 Email(Required)

Parent #2 Name(Required)

First Last

Parent #2 Cell(Required)

Parent #2 Email(Required)

Home Phone(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Payment Method(Required)

Date

Registration Fee(Required)

Price:

Late Registration Fee(Required)

Price:

Total

Credit Card(Required)

Card Details

Cardholder Name