Suburban Hockey Clinic and Programs Registration
Please Note:
Make sure to fill this electronic form out completely to insure that you are properly registered.
PERSONAL INFORMATION
Player Name:
Street Address:
City:
State:
Zip:
Home Phone:
Daytime Phone:
Email:
Contact Person:
Age:
Date of Birth:
Years of Experience:
Current Team:
Division:
Position:
Type of Class:
Adult Skills & Conditioning - Breakfast Club
Adult Skills & Conditioning - Prime Time
Christmas Clinics
Summer Programs
Tryout Prep Program
Mid-Winter Clinics
Learn to Check Programs
Spring League - SSHL
Spring Training Program
High Performance Training Program
Spring Clinics
STCFHL League Registration
Pre-Season Clinics
Class:
Location:
Day of Class:
PAYMENT INFORMATION
Please note: Make sure to fill this electronic form out completely to insure that you are properly registered. Enrollment in all programs is limited and online registrations are not guaranteed. You will receive a return e-mail or phone call to confirm the status of your registration. To register with a check or money order as your payment option, please print this form and mail it with your check or Money Order
Check/Money Order (Please print this form and mail with your check or M.O.)
VISA
MasterCard
Credit Card Expiration Date:
01
02
03
04
05
06
07
08
09
10
11
12
01
02
03
04
05
06
07
08
09
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31
2002
2003
2004
2005
2006
2007
2008
Credit Card Number:
Name of Cardholder:
CVV2 (Last 3 Digits on the back of the card)
Is the billing address the
same as the address listed
above? If not, please indicate
here:
