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Hockey 101 Registration
Submitted by
kurtl
on Thu, 07/28/2011 - 5:33pm
Complete ALL of the following steps to register
You MUST be 18 years of age or older to register and participate in Hockey 101.
Register for Hockey 101 by submitting form below.
Development Level
Development Level
*
Beginner
Intermediate
Age 35+
Player Information
First Name
*
Last Name
*
Address 1
*
Address 2
City
*
State
*
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Marianas Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
*
Email
Phone Type
Home
Cell
Work
Phone
Payment
Cost: $100
Payment Options
*
Cash
Check
Credit Card
If paying by cash or check, please mail your payment to Storm Hockey, 609 Platte Rd, Kearney, NE 68845. If paying with credit card, please call Dana @ 308-338-8144 between 9-4 PM Mon-Fri to make payment over the phone.
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Mollom privacy policy
.