Registration

Player's First Name

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Player's Last Name

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Available Leagues

by age group

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USA Hockey #

All players must register every year with USA Hockey. Register Here

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Date of birth (mm/dd/yy)

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Gender

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Parent/Guardian 1 Name

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Parent/Guardian 1 Email

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Parent/Guardian 1 Phone

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Parent/Guardian 2 Name

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Parent/Guardian 2 Email

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Parent/Guardian 2 Phone

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Alternate Emergency Phone Number

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Doctor's Name

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Doctor's Number

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Allergies

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If Yes Please Describe

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Medication(s)

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School

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Additional Comments

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Jersey Number Preference #1

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Jersey Number Preference #2

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Jersey Number Preference #3

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Emergencies

If an emergency illness or injury occurs, I hereby authorize NyICECATS to treat and/or send my child listed above to a physician or hospital and authorize the necessary treatment. I understand that every attempt will be made to contact parents or the emergency contact. I also authorize the emergency contact listed above to pick up my child in case of emergency. All information on this form is complete, true and accurate to the best of my knowledge.

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USA hockey waiver of liability

View Waiver

I have read and accept the USA hockey waiver of liability.

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Player Registration