2018-19 Riverton Ice Hockey Player Registration Form
For Questions, contact us at rihapresident@gmail.com
Email address *
USA Hockey Player Number *
This is a 9 digit number, followed by the first 5 letters of the last name. You will receive it after finishing your registration through the USA Hockey Website: https://www.usahockeyregistration.com/
Your answer
Player First Name *
Your answer
Player Last Name *
Your answer
Player Birthdate *
MM
/
DD
/
YYYY
Address *
Your answer
City *
Your answer
State / Province / Region *
Your answer
Zip *
Your answer
Parent/Guardian Names and Phone Numbers *
Please include phone numbers so the coaches know who to contact.
Your answer
This is to certify that on this date, I as a parent or guardian give my consent to USA Hockey and its medical representative to obtain medical care from any licensed physician, hospital, or clinic for the above mentioned participant for any injury that could arise from participation in USA Hockey sanctioned events. *
Required
Please check if Athlete has had any of the following:
Please list any allergies and medications
Your answer
Has the Player ever been registered with another Hockey Association in Wyoming? If yes, please list the Association here, otherwise just answer No. *
Failure to disclose previous registration will result in the player being ineligible to play in the WAHL league for the current season.
Your answer
By checking the box below, I agree that if any RIHA equipment or uniforms are rented or assigned to above player, I will return them at the end of the season, and I agree that if items are not returned I will be billed for their replacement. *
Required
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