Concord Youth Hockey Association - (Concord, NH)

2019-2020 Learn To Skate (Clinic); Intro to Hockey (Atoms); & DynoMITE Registration

Registration and tuition payment must be completed "on-line" to roster a player in any of our programs. We can no longer accept "paper" registrations.

PLAYER INFORMATION

* First Name:

* Last Name:

* Street:

* City:

* State:

* Zip Code:

* Birthdate:

(NOTE: Players MUST be born prior to March 2016 in order to participate. Players born after must contact Wes Riley, Program Director, at uraa@aol.com to request for a waiver.)

* Grade:

* Gender:

* School Attending in Fall - 2019:

* Prior Youth Hockey Association (if applicable):

* Prior Skating/Hockey Experience (Select One):

* Registering for: LTS, Intro to Hockey, DynoMITES, Not Sure (Select One):

* LTS (Clinic) or Intro to Hockey (Atoms) Session Preference:

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:

FIRST YEAR SKATER LEARN TO SKATE EQUIPMENT PACKAGE

Learn to Skate (Clinic) Equipment packages are available to ALL first year players AND Concord Youth Hockey paid registrants at discounted pricing. Equipment packages are available at Capital Sporting Goods 276 N. State St. in Concord. To qualify for the package, copy your confirmation email showing you have enrolled your child and fully paid the tuition. This email will be sent to you upon completion of payment from PayPal.

PAYMENT INFORMATION

Fall Session - Oct to Dec. Winter Session - Jan to March.
Learn to Skate (Clinic) tuition: $159.00 per session.
Intro to Hockey (Atoms) tuition: $159.00 per session.
Both Clinic and Atoms require payment in full at the time of this registration.
DynoMITE Tuition: $859.00 for the 2019-20 season. (Payable $299.00 at registration, $280.00 by Nov. 1, and $280.00 by Dec. 1.)

NOTE: Due to insurance requirements, ALL players will be registered with AAU Hockey prior to any on-ice activities with Concord Youth Hockey. 2019-2020 TUITION INCLUDES THE AAU HOCKEY INSURANCE FEES!! If you are already a member of AAU, please notify Wes Riley at uraa@aol.com with your AAU member number and a transfer to AAU Hockey will be made. AAU Hockey will notify you, by email, of your AAU membership.

Email Contact:
Program Director - Wes Riley - URAA@aol.com - 603-496-0146

* indicates required fields