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Membership Application 2023-2024
Registration form
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* Indicates required question
Email
*
Your email
Player USA Hockey Number (
https://membership.usahockey.com/register/age
)
*
Your answer
Player first name
*
Your answer
Player last name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Home Number
*
Your answer
Street Name
*
Your answer
City
*
Your answer
Zip
*
Your answer
Grade for the 2022-2023 school year
*
Choose
7th (must born in 2010 or before)
8th
Freshman
Sophomore
Junior
Senior
School
*
Your answer
Highest Level of Hockey Played
*
Choose
New to the sport
B2
B1
A1
A2
AA
AAA
High School
How long have you played ice hockey?
Choose
0-2 years
2-4 year
+ 4 years
Player position
*
Choose
Offense
Defense
Goalie
Undecided
Jersey # (Please give 3 choices in order of preference)
*
Your answer
Player cell phone
Your answer
Player e-mail
Your answer
Parent/Guardian #1 (First & Last Name)
*
Your answer
Parent/Guardian #1 phone
*
Your answer
Parent/Guardian #1 e-mail
*
Your answer
Parent/Guardian #2 (First & Last Name)
Your answer
Parent/Guardian #2 phone
Your answer
Parent/Guardian #2 e-mail
Your answer
Player T-shirt size (adult)
*
Choose
S
M
L
XL
XXL
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