Free Youth Hockey Registration Form Template

Youth Hockey Registration Form

Please fill out this form with complete and accurate details to register.

Player Information

Name

    Date of Birth

      Gender

        • Male

        • Female

        Home Address

          Age Division

            • 6U (ages 5-6)

            • 8U (ages 7-8)

            • 10U (ages 9-10)

            • 12U (ages 11-12)

            • 14U (ages 13-14)

            Medical Information

            Known Allergies

              Existing Medical Conditions

                Emergency Contact Details

                Name

                  Relationship to Player

                    Email

                      Phone number

                        Consent

                        By signing below, I confirm that I am the legal parent or guardian of the player named above and authorize their participation. I also acknowledge that I understand the inherent risks involved and consent to emergency medical treatment if necessary.

                        Name:

                        Date:

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