2023 Spring Season Registration - MLIHA -- Mt. Lebanon Inline Hockey Association

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

Thank you for your interest in the Mt. Lebanon Inline Hockey Association! Please complete this form so we can prepare for the upcoming spring season! For more information, including the required equipment, please visit our website at www.leboinline.com.

Season Starts in April 2023

Sign ups RMU Inline Hockey Spring Season
__________________________________________________________________________________________________

Costs Include

1. Registration Fee - $200 per player (Includes the mandatory $16 AAU Insurance Fee (Valid until August 15)
Player Fee covers 10 Game Season plus playoffs

2. Additional Costs - Team Uniform - $100 (If needed)
Team Uniform Includes...
Tshirt and Team Inline Pants
__________________________________________________________________________________________________

Payments by PayPal - On the Spring Season Registration Page - https://www.leboinline.com/spring
or
Payments by check only to Mt. Lebanon Inline Hockey Association
Send Payment to 236 Jonquil Place, Pittsburgh Pa 15228

PAYMENT DUE BY MARCH 15th

Email *

Player's Name - First and Last *

Player Date of Birth *

YYYY

Player's Current Grade in the 2022-23 School Year *

Player's School he/she will attend in 2023-22 *

School and School District

Parent/Guardian Name 1 *

Parent/Guardian Name 2

Best Number to Contact Family *

Type of Phone # Above *

Mobile

Home

Office

Best Email to Contact Family *

Mailing Address *

Township/City & Zip Code *

If Ordering Uniforms, What Size Jersey will you need? (Adult sizes) NOTE - If you already have a Lebo Inline uniform then you can skip this question.

GOALIE SIZED JERSEY - WIDER THAN TYPICAL JERSEY

If Ordering Uniforms, What Size Inline Pants will you need? (Adult sizes)

Clear selection

What Jersey Number do you want? Pick Three Numbers.

If you already have a Lebo Inline Uniform, What Number do you have?

Please list other Spring/Summer Sports or activities the player will be involved in during the spring season.

Player's Hockey Ability (Inline or Ice)

Has played more than 3 years

Has played less than 3 years

Never has played

Clear selection

Would you be interested in playing in the Fall PIRHL Season in 2023

Yes

Possibly - Part Time Roster Spot

Clear selection

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms