TOURNAMENT REGISTRATION - BIRTH YEAR 2014

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TOURNAMENT REGISTRATION - BIRTH YEAR 2014

Email *

Tournament Invite Code *

Player First Name *

Player Last Name *

Player Birth Date *

YYYY

Player Position *

Parent First Name *

Parent Last Name *

Parent Phone *

Address *

City *

State *

Zip Code *

Emergency Contact Name *

Emergency Contact Phone *

Current Team

Waiver *

I certify that the above named applicant is fully covered by a health insurance plan or USA Hockey and 401 Hockey and its staff are not responsible or liable for any injury suffered by the applicant during participation at 401 Hockey events. 401 Hockey reserves the right to accept only the players they conclude meet the standards established by the coaching personnel.

Required

Select the appropriate Tournament for your Player *

North American Spring Championship (2014) - $250

Ocean State Lobsterfest (2014) - $250

New England Summerfest (2014) - $250

3 Tournament Package (2014) - $750

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