Child's Name:
Gender: - Please Select - Male Female
Date of Birth: - Month - January Februrary March April May June July August September October November December - Day - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 - Year - 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997
Address: ,
Home Phone:
Work Phone:
Name:
Email:
Cell Phone:
Previous Hockey Experience? Yes No
Most Recent Level Played:
Position:
Please Select Your Division (See Chart Below) Developmental League Choose Session Session 1 (Nov-Dec) Session 2 (Jan-Feb) Both 8U (Mites) 10U (Squirts) 12U (PeeWee) 14U (Bantam)
Jersey Size Please Choose One Youth - Small Youth - Medium Youth - Large Youth - X-Large Adult - Small Adult - Medium Adult - Large Adult - X-Large
Player Number (For Jersey): 2nd Choice 3rd Choice
Birth Year
Divisions
Early Registration
Cost*
Cost
Registration Deadline
Season Starts
10 & Under (Beginners)
Developmental (Session 1 Nov-Dec)
NA
$100.00
October 7th
October 24th
Developmental (Session 2 Jan-Feb)
December 18th
January 2nd
03 & Under
8U MYHL Team
$395.00
$445.00
02 – 01
10U MYHL Team
$495.00
$545.00
99 – 00
12U MYHL Team
$595.00
$645.00
97 – 98
14U MYHL Team
$699.00
$749.00
* Early Registration Cost includes $50 deposit - Deposit due by May 1, 2011
