Suffolk County High School Ice Hockey Draft Registration Form

Suffolk County High School Ice Hockey Draft Registration Form

You MUST be a player's parent/guardian to complete this form.
Last Name *
First Name *
Please select the level you would like to play: Freshmen (ages 12-15), JV (Grades 9-11) , or Varsity (Grades 9-12)
Level
Position
Age *
Birth Date *

Month Day Year
Primary Contact Phone *

- Area Code Phone Number
Secondary Phone

- Area Code Phone Number

Address *

Parent's E-mail *
Confirm E-mail *
School you will attend in the Fall *
School District *
Grade you will be in this Fall *
Mother or Father's first name
Mother or Father's Cell number

- Area Code Phone Number
Jersey Size
You must have a USA hockey number for the coming season to enter the draft. 2018-2019 Season Registrations numbers have an "9" as the 4th number.
USA Hockey Registration Number *
9-digits and 5-letters
First Time USA Hockey members Must Submit a copy of their Birth Certificate

Browse Files
PDF Preferred Cancel of
Hockey playing history

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Additional Comments?

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Enter the message as it's shown *
Payment *

Check/Money Order - $300.00 Credit Card - $300.00 + $10.00 Processing Fee
Please send your Check or Money Order for $300, payable to SCHSHL to...

SCHSHL
660 Terry Rd
Hauppauge, NY 11788

Credit Card Payment

Draft Registration Fee + Processing $ 310.00

Total $ 0.00