2019 - 2020 Player Registration Form
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 address *
I am registering for: *
Player First Name *
Your answer
Player Last Name *
Your answer
Player's Date of Birth *
Phone Number
Your answer
Street Address
Your answer
City, ST, Zip Code
Your answer
I am interested in: *
Parent or Guardian if Under 18
Your answer
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