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Wilmington Area Hockey Association 2021 - 2022 Player Registration Form
Please complete this form in its entirety to register for the 2021-2022 hockey season and check your responses for completeness and accuracy. We will contact you using the information provided.
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* Indicates required question
Parent/Guardian Name (First, Last)
*
Your answer
Parent/Guardian Cell Phone #
*
Your answer
Parent/Guardian Email Address (This will be the address of record for the 2021 - 2022 season).
*
Your answer
Secondary Email Address (Optional)
Your answer
Player Name (First, Last)
*
Your answer
Player Address (Street, City, State, Zip)
*
Your answer
Player Birthday (MM/DD/YYYY)
*
Your answer
USA Hockey Registration #
*
Your answer
School Attending Academic Year 2021 - 2022
*
Choose
Ellwood
Mohawk
New Castle
Sharpsville
Union
Wilmington
Other
If "Other", Please List School:
Your answer
Grade Level Enrolled in Academic Year 2021 - 2022
*
Choose
6
7
8
9
10
11
12
Competitive Ice Hockey Experience (Years)
*
Choose
0
1 - 3
4 - 6
6+
Position
*
Choose
Forward
Defenseman
Goalie
Submit
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