Player Information

2023-2024 Player Registration

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First Name:*

Last Name:*

Gender :*

Date of Birth:*

2023-2024 Grade:*

Enter (Player USA Hockey Number) :

Player Address :*

Player City and State:*

Player Zipcode:*

Player Phone Number :*

Player Email Address :*

Mother's Name (First and Last):*

Mother's Email Address:*

Father's Name (First and Last):*

Father's Email Address:*

Do you need new Jerseys? :*

Jersey Size:*

Returning players: Enter Jersey Number; New players: Enter three options for Jersey Number :*

Do you need socks?:*