PLAYER INFORMATION

USA Hockey Registration Number*

Playing Level*

STOP

Boys (09-05) tryouts have concluded and all players have been notified of their status with spring teams.

If you have been notified by staff that you made the spring team, use the PAYMENT ONLY link to pay your spring fees.
If you have been notified by staff that you made the spring team and have not yet completed the registration process, please continue and pay your fee using this form.

Player Name*

First Last

Birth Date*

Email

Phone

Player Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

PARENT / GUARDIAN INFORMATION

Parent / Guardian #1*

Name

Email #1*

Phone #1*

Parent / Guardian #2

Name

Email #2

Phone #2

PLAYING HISTORY

Position*

Forward
Defense
Fwd/Def
Goal

Shot / Catch

Right
Left

Last Fall Season Team*

Last Fall Season Coach*

PAYMENT INFORMATION

Midget Payment In Full*

Payment in Full $445

_________________

Payment Type*

Credit Card
Bank ACH

Bank ACH Amount Due

Price: $0.00

Credit Card Amount Due

Price: $0.00

NOTE: A 4% Service Charge is added for all Credit Card Transactions

ACH*

Account Number Account Type Routing Number Account Holder Name

Credit Card

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

*

REFUND POLICY
Midget Prep participants: NO refunds will be issued.

I have read and understand the Refund Policy

Spring Registration – Midget