ROMAN CATHOLIC ICE HOCKEY CLUB

Spring Middle School 2010

 REGISTRATION FORM

Top of Form

Player's Information:

Name ____________________________________________

 

Address __________________________________________

 

              __________________________________________

 

Home Phone # __________________________   Players Cell #:_________________________

 

Date of Birth ____________________        Players E-mail: ________________________

 

My son is in ________grade.       USA Hockey Conformation# : _______________________    

Did he play for the MS team this year: Yes/ No   If No: you MUST be Registered with USA Hockey. Go to USAHockey.com and register; attach the conformation e-mail to this form.

Must be USA Hockey registered in order to play.

Parent's Information:

Parents First Name: ________________________ Last Name: ____________________

     
Work Phone: __________________ Cell Phone: _______________________

 

Parents E-Mail Address: _______________________________________

 

 

 Please mail a non-refundable $150.00 Fee made payable to "Roman Catholic Ice Hockey"

C/o:  Nora D’Andrea

7551 Valley Avenue

Philadelphia, PA  19128

215-483-8267

Any questions regarding the hockey program or club should be directed to Board@RCIH.org