2019 - 2020 Player Registration Form

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By Registering for Indy Disabled Hockey you are committing to participate in a weekly recreational or competitive hockey program. You also agree to pay $100.00 to participate in the recreational program and $200.00 in the competitive program (Payment plans and scholarships are available.) All players must also register with USA Hockey ($45 per year).

I am registering for: *

Sled Hockey

Blind Hockey

Player First Name *

Player Last Name *

Player's Date of Birth *

YYYY

Phone Number

Street Address

City, ST, Zip Code

I am interested in: *

Recreational Hockey

Travel/Competitive Hockey

Too soon to tell

Required

Parent or Guardian if Under 18

Submit

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