Concord Youth Hockey Association - (Concord, NH)

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2026-2027 CAPITALS REGISTRATION FORM

Registration must be completed "on-line" in order to register a player.

PLAYER INFORMATION

* First Name:

* Last Name:

* Birthdate:

* Street:

* City:

* State:

* Zip Code:

(NOTE: Players MUST be age appropriate to the team they are registering for.)

* Player's Preferred Position:

* Current Grade:

* Gender:

* School Attending Fall 2026:

* Prior Youth Hockey Association (if applicable):

* Prior Skating/Hockey Experience (Select One):

* Registering for: (Select One):

PARENT/GUARDIAN #1

* Firstname:

* Lastname:

* EMail:

* Home Phone:

* Cell Phone:

PARENT/GUARDIAN #2 (Required if player also resides with another parent)

Firstname:

Lastname:

Email:

Home Phone:

Cell Phone:

MEDICAL/EMERGENCY CONTACT INFORMATION

* Emergency Contact:

* Cell Phone:

* Relationship to Player:

* PLAYER 2025-26 Season USA HOCKEY REGISTRATION NUMBER. IF NOT USAH, ENTER AAU HOCKEY:

To accept a roster spot to a chosen team, players must remit the required $500.00 roster deposit. The remainder of the season tuition will be billed to the PARENT/GUARDIAN #1 contact email address.
** NOTE - ANY TRYOUT FEES PAID WILL BE CREDITED TOWARD FINAL TUITION!!

NOTE: Due to insurance requirements, ALL travel players in Squirts, Peewees, Bantams, and Split Midgets Travel Hockey must be registered with USA Hockey for the upcoming season (2026-27). FULL ICE Mite players must be registered with AAU Hockey through the NE Amateur Hockey League.
Players not registered will not be allowed to participate in any team events.

For questions - contact:
Program Director - Wes Riley - URAA@aol.com - 603-496-0146

* indicates required fields