2010 - 2011 Season Registration

Complete ALL of the following steps to register

1. Register with USA hockey. Annual membership costs $38 ($30 USA Hockey Cost and $8 Affiliate Cost).
2. Send proof of USA hockey registration to the TCSHL, (see extra notes below on how to do this).
3. Sign TCSHL waiver.  Waiver download available here!
4. Register with the TCSHL by submitting form below.

Extra Notes

• PAYMENTS and signed TCSHL Waiver can be given to any board member or sent to the following address:
  Viaero Event Center
  609 Platte Rd
  Kearney, NE 68845
  Attn-TCSHL-Jim Kettner
• Proof of USA Hockey Registration can be given to any board member, sent to the above mailing address or sent to the following email address:
  usaregistration@tcshl.com
• See who has already registered.

League Season Registration Form

* ~ Required Fields

Personal Information

First Name: * Last Name: *

Address 1: *

Address 2:

City: * State: * Zip: *

Email:

Home Phone:

Work Phone:

Cell Phone:

League Memberships

• TCSHL - Tri-City Senior Hockey League
• D.R.I.L. - Developmental Recreational Introduction to Hockey League

I want to play in the TCSHL only.

I want to play in D.R.I.L. only.

I want to play in both D.R.I.L. and the TCSHL!

Positions (Check All That Apply)

Goalie Defense Center Wing

Jersey Information

L XL XXL Goalie

Jersey Number (Choose three numbers, between 0-99, with choice number 1 being the number you would most like to have.)
Choice 1: Choice 2: Choice 3:

Skill Level

Beginner (Less than 1 year experience, new skating, stick, etc skills)

Level 1 (Decent forward skating, lower backward skate & stick skills, grasp of game)

Level 2 (Good forward movement, decent backward, good all around medium skill)

Level 3 (Front/back skating proficient, good skills but can't move puck end to end alone)

Level 4 (All skating, shooting, passing skills available, extensive playing background)

Will you sub for other teams? (If yes, select best night(s).)

Yes No

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

If you will be traveling and will be doing so with other player(s), list them here:

Miscellaneous

Are you interested in being a Team Rep? Yes No

Are you interested in being a referee? Yes No

• Late Registration Fee (After League Draft Day): $100, (New TCSHL members are exempt)
• Refunds: All refunds must be reviewed and approved by the TCSHL Board.
• Referees will be expected to pay half of member fees at beginning of season.

Payment Option

Plan I - 1 Installment. One payment of $350.00 in full on or before League Draft Day. TOTAL = $350.00

Plan II - 2 Installments. Two payments of $187.50. First payment due on or before League Draft Day. Second payment due by Dec 15th. TOTAL = $375.00

Additional Notes

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