Youth Hockey Registration Form
Parents/Guardian Information
Parent/Guardian Name
*
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Player Information (1 Player Per Registration)
Player Name
*
First Name
Last Name
Date Of Birth
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Age
*
Experience Level:
*
Please Select
First Time
Beginner
Intermediate
Advanced
Division
*
Youth Camp (March)- March 1 - March. 30th. (Date and Time TBD)
Youth Hockey - Learn To Skate
Youth Hockey - Learn To Play
10u Youth League (Co-Ed)
12u Youth League (Co-Ed)
14u Youth Hockey League (Co-Ed)
CCSA Rage Club Hockey Team
Other (Please Describe)
Shirt Size
*
Please Select
Jr Small
Jr Medium
Jr Large
Jr XL
Sr Small
Sr Medium
Sr Large
Sr X-Large
Sr XXL
Where did you hear about us?
*
Please Select
Website
Facebook
Instagram
School
Friend
Family
Repeat Customer
Public Skate
Other
Would you or someone you know be interested in joining our Volunteer group?
*
Administrative
Reffing
Scorekeeping
Coaching
Snacks
Boardmember
No Interested
Other (Please enter interest here)
Additional Questions or Comments/ Food allergies?
*
Please let us know if you have any other Questions or Comments!
What would you like to see from the program(s) this season?
*
Please verify that you are human
*
Signature
Submit
Submit
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