Juvenile Hockey - Interest Identification Form (Pelham Minor Hockey Association)

Print Juvenile Hockey - Interest Identification Form
Please complete all sections of the form. The PMHA would like to be able to effectively gauge interest for players in the Juvenile age category to see if a team is feasible for the 18-19 season in Pelham. Players 2000 year of birth and older are eligible. At this time, we have NOT determined what the fee structure would be. The team would play out of the new Meridian Community Centre in Pelham for all practices and home games.
Contact Information
Please complete the following information.
  1. Please enter the player's full and proper name
  2. RadDatePicker
    RadDatePicker
    Open the calendar popup.
  3. Include street number & name, city and postal code
  4. Please enter a valid email address. Once you complete and submit the form you should receive an auto reply of your responses. If you do not receive an email please check your junk mail folder.
  5. Example: ###-###-####
  6. Example: ###-###-####
  1. Which specific team (and association) did your player play on in 2017-18? (ie: Pelham Panthers Peewee BB)
  2. I acknowledge that the information provided is accurate.

    By submitting this form you have authorized Pelham Minor Hockey to contact you regarding more information about Juvenile hockey for the 18-19 season.
Anything you want to state ???
Please provide any additional information, thoughts, comments etc that may assist us in putting this together.
Human Validation
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Printed from pelhamminorhockey.com on Sunday, August 19, 2018 at 5:45 AM