2020/2021 Wolverines Registration (Keene Wolverines)

Print 2020/2021 Wolverines Registration
Please use this form to register for the 2020-2021 hockey season. WE ARE NOT ACCEPTING ANY PAYMENT AT THIS TIME. Once the season is established and we can budget for what the season will be Registration Rates will be confirmed.
Player to be Registered
  1. RadDatePicker
    RadDatePicker
    Open the calendar popup.
    Please use calendar picker
Registrant (Parent, Guardian or Adult Player)
This section to be completed by parent, guardian or player over the age of 18.
  1. Example: ###-###-####
  2. Example: ###-###-#### x###
  3. Example: [email protected] Your submission will be sent to this address.
  4. IF NOT THE SAME AS PLAYER, PLEASE COMPLETE ADDRESS INFORMATION BELOW
  5. First and Last Name
  6. Example: ###-###-####
Player Emergency Contact
  1. Example: ###-###-####
Player History
  1. Name of Past Association Played
  2. Year Played for Past Association
  1. I certify that the information provided is accurate and true to the best of my knowledge. I agree to supply any additional information required to provide proof of the above information, including copies of Birth Certificate, or other supporting documentation of birth date. 
Human Validation
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Printed from keenewolverines.com on Sunday, November 29, 2020 at 9:31 PM