Carolina Hockey Day Registration

Full name:
Age:
Address:
Primary phone number:
Email address:
Shoe size (men’s/women’s/kids):
Height:
Weight:
Gender:
Why I want to try hockey:

2) Rink where you intend to play:

Bladez on IceCarolina Ice PalaceExtreme Ice CenterGreensboro Ice HousePavilion Recreation ComplexPlex Indoor Sports & IcePolar Ice House GarnerPolar Ice House Wake ForestRaleigh Ice PlexTriangle SportsplexWilmington Ice HouseThe RecZone