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.
Player's Last Name *
Player's First Name *
Please select the level you would like to play:
Freshmen (ages 12-15), JV (Grades 9-11) , or Varsity (Grades 9-12)
Position
Age *
Birth Date *

Month Day Year
Primary Contact Cell Phone *

Area Code Phone Number
Secondary Phone

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Parent's E-mail *
Confirm E-mail *
School you will attend in the Fall 2021 *
Your Home School District *
Grade you will be in this Fall 2021 *
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. 2021-2022 Season Registrations numbers have an "2" 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
PDF Preferred
Hockey playing history

0/120
Additional Comments?

0/120
Enter the message as it's shown *
Payment *

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

SCHSHL
660 Terry Rd
Hauppauge, NY 11788

*Personal Checks can not be acceped after August 31st.

Credit Card Payment

Draft Registration Fee + Processing $ 310.00

Total $ 0.00