Concord Youth Hockey Association - (Concord, NH)

2024-2025 Capitals Travel Team Registration Form

Registration fees (if applicable) 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:

To accept a roster spot on a selected 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 and Girls U8 players will be registered with AAU Hockey by Concord Youth Hockey. All Girls U10, U12, and U14 players must also register with USA Hockey prior to the season starting. Players not registered are not allowed to participate in any team or Capitals' sponsored events.

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

* indicates required fields