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2023-24 Player Registration
Please Use Capital Letters Where Necessary
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* Indicates required question
Player's Name
*
Your answer
Street Address
*
Your answer
Town
*
Your answer
Zip Code
*
Your answer
2023-24 Grade
*
12
11
10
9
8
7
6
5
4
3
2
1
K
Required
Player's School
*
Penncrest
Springton Lake
Glenwood
Indian Lane
Media
Rose Tree
St. Mary Magdalen
Other
Contact Email Address
*
Your answer
Parent/Guardian 1 Name
*
Your answer
Parent/Guardian 1 Phone Number
*
Your answer
Parent/Guardian 2 Name
*
Your answer
Parent/Guardian 2 Phone Number
*
Your answer
Player Cell Phone # (HS Players Only)
Your answer
My initials here indicate that I have read and agree to the Player-Parent Contract on the Registration Page.
*
Your answer
My initials here indicate that I have read and agree to the Financial Responsibility Form on the Registration Page.
*
Your answer
Player Email Address (HS Players Only) RTMSD email will not work
Your answer
Jersey Size
*
XL
L
M
S
YL
YM
YS
Goalie
Other:
Required
Jersey #
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
USA Hockey Number - 4th digit will be a 4 if this is a 2023-24 USA Hockey number
*
Your answer
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