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2018-19 Player Registration
Please Use Capital Letters Where Necessary
Player's Name *
Your answer
Street Address *
Your answer
Town *
Your answer
Zip Code *
Your answer
2018-19 Grade *
Required
Player's School *
Contact Email Address *
Your answer
Parent/Guardian 1 Name *
Your answer
Parent/Guardian 1 Phone Number *
Your answer
Parent/Guardian 2 Name *
Your answer
Parent/Guardian 2 Phone Number *
Your answer
Player Cell Phone # (HS Players Only)
Your answer
My initials here indicate that I have read and agree to the Player-Parent Contract on the Registration Page. *
Your answer
My initials here indicate that I have read and agree to the Financial Responsibility Form on the Registration Page. *
Your answer
Player Email Address (HS Players Only)
Your answer
Jersey Size *
Required
Jersey #(please note if different than 2017-18) *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
USA Hockey Number *
Your answer
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