Concord Youth Hockey Association - (Concord, NH)

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2024-2025 CAPITALS TRAVEL TEAM TRYOUTS REGISTRATION FORM

Registration fees and deposit payment must be completed "on-line" to roster a player in any of our programs.

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 2024:

* Prior Youth Hockey Association (if applicable):

* Prior Skating/Hockey Experience (Select One):

* Registering for: (Select One):

PARENT/GUARDIAN #1

* Firstname:

* Lastname:

* EMail:

* Home Phone:

* Work Phone or Cell Phone:

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

Firstname:

Lastname:

Email:

Home Phone:

Work Phone or Cell Phone:

MEDICAL/EMERGENCY CONTACT INFORMATION

* Emergency Contact:

* Cell Phone:

* Relationship to Player:

* PLAYER 2023-24 Season USA HOCKEY REGISTRATION NUMBER IF NOT AAU HOCKEY:

PAYMENT INFORMATION - Tryout Fee is $75 in advance of the start of tryouts.

Tryout fee is $125, once tryouts start March 11. ALL GOALIES ARE FREE.

To accept a roster spot to a chosen team, players must remit a $429.00 deposit.
The remainder of the season tuition will be billed to the PARENT/GUARDIAN #1 contact email address.

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 (2024-25). FULL ICE Mite players will be registered with AAU Hockey by Concord Youth Hockey. 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