Player In-Take Form
Start your journey with Heads Up Hockey by completing player in-take Form. Tell us about your experience, goals, and background so we can find the right fit for you.  
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Player's First & Last Name *
Player's Birthday *
Manager Name (most times a parent, sometimes a grandparent, aunt, etc.) *
Manager's communication preferences (by selecting, you agree to subscribe to SMS & Email) *
Manager Email (double-check spelling) *
Manager Phone Number
What is your player's current position? *
Required
What school do they attend? 
What team/organization are they playing for this fall? and what level? *
which program(s) you are interested in? *
Required
What days & times typically work best for training? *
Required
Which rink(s) are you interested in training at? *
Required
Any specific group times you're looking at dropping into? 
What's your preferred method of payment?  *
Required
Any notes for Coach Jonny? 
how'd you find out about heads up hockey? 
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