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2023-2024 Season NEAHL Player (only) Registration Form - AAU CLUB CODE: W378C4

PLAYER INFORMATION

* First Name:

* Last Name:

* Street:

* City:

* State:

* Zip Code:

* Home Phone:

* Birthdate:

* Email:

* Gender:

* Home Rink/Arena:

* Rink Location - City, State:

* Head Coach:

PARENT/GUARDIAN #1

* Firstname:

* Lastname:

* EMail:

Home Phone:

Work Phone:

* Cell Phone:

* Relationship to Player:

PARENT/GUARDIAN #2

Firstname:

Lastname:

Email:

Home Phone:

Work Phone:

Cell Phone:

Relationship to Player:

MEDICAL/EMERGENCY CONTACT INFORMATION

* Emergency Contact:

* Cell Phone:

* Relationship to Player:

NE Amateur Hockey League Disclaimer
NEAHL - 2023-24 Season AAU Club Code W378C4

NOTE: Due to insurance requirements, ALL players must be registered with AAU Hockey prior to any on-ice activities in the NE Amateur Hockey League. If you are already a member of AAU, please notify the League Administrator, Wes Riley, at uraa@aol.com with your AAU member number and a transfer to AAU Hockey and the NEAHL will be made. AAU Hockey will notify you, by email, of your AAU membership.

All AAU memberships and insurance coverages included in this player registration are effective September 1, 2023 to August 31, 2024.

AAU, AAU Hockey, and the NE Amateur Hockey League are not affiliated with USA Hockey. USA Hockey (USAH) registrations, or insurance, as provided by USAH to any player, team, or organization cannot be used for participation in AAU, AAU Hockey, or the NE Amateur Hockey League.

I/we understand and agree with the above *

* Authorized Parent Electronic Signature:

* indicates required fields