Registration

All fields must be filled!

Skaters LAST Name:
Skaters FIRST Name:
Players Address
Players City
Players State
Players Zip
Players Phone			(xxx-xxx-xxxx)
Players E-Mail Address
Players Birth Date			Month Day Year
Grade			7th 8th 9th 10th 11th 12th
Position			Forward Defense
USA Hockey Registration Number
Mother/Guardian Last Name:
Mother/Guardian First Name:
Mother/Guardian Address
Mother/Guardian City, State, Zip
Mother/Guardian Home Phone			(xxx-xxx-xxxx)
Mother/Guardian Cell Phone			(xxx-xxx-xxxx)
Mother/Guardian Home E-Mail Address
Father/Guardian Last Name:
Father/Guardian First Name:
Father/Guardian Address
Father/Guardian City, State, Zip
Father/Guardian Home Phone			(xxx-xxx-xxxx)
Father/Guardian Cell Phone			(xxx-xxx-xxxx)
Father/Guardian Home E-Mail Address

NOTE: If you sign up as a FORWARD you'll be evaluated as a FORWARD. If you are DEFENSE and there is no longer any opening for DEFENSE and you register as a FORWARD, you will be judged as an FORWARD.

For your REGISTRATION TO BE ACCEPTED you MUST pay the tryout fee online and MUST be registered with USA Hockey!

If there's a problem with your registration please contact tom.slocum@wahahockey.com.

PLEASE ONLY CLICK ON THE SUBMIT BUTTON ONCE!