Registration


First Name

Last Name


example@example.com


Street Address


Street Address Line 2


City

State / Province


Postal / Zip Code

Country


Area Code

Phone Number


Go here to register https://www.usahockeyregistration.com/

10-U Team12-U Black Team12-U White Team14-U Team16-U Team







(indicate if youth or adult)


First Name

Last Name


example@example.com

Monthly Payment - Player (6 Payments) ( $ 550.00 for each month.)Full Season Payment - Player (1 Payment) ( $ 3,300.00 for each year.)Monthly Payment - Goalie (6 Payments) ( $ 275.00 for each month.)Full Season Payment - Goalie (1 Payment) ( $ 1,650.00 for each year.)Monthly Payment - Two Siblings (6 Payments) ( $ 990.00 for each month.)Full Season Payment - Two Siblings (1 Payment) ( $ 5,940.00 for each year.)







First Name

Last Name


Credit Card Number

Security Code


Expiration Month

Expiration Year