2019 - 2020 Player Registration Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

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).

Email *

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

Clear form

Never submit passwords through Google Forms.

This form was created inside of Indiana Disabled Hockey Inc.. Report Abuse

Forms