Come Play Youth Hockey Workshops Registration
1)
For which Come Play Youth Hockey Workshop are you registering?
Select One
Saturday, June 19 at the Radisson Hotel Plymouth Harbor from 8:30 to 10:30 a.m. (Held in conjunction with Mass Hockey Annual Meeting)
Saturday, June 26th at the University of Connecticut from 10:00 am to 2:00 pm
Sunday, June 27th at the Hilton Garden Inn—Burlington, MA from 10:00 am to 2:00 pm
Saturday, July 10th at the Crowne Plaza—Chicago O’Hare from 9:00 am to 1:00 pm
2) Your information:
First name:
Middle initial:
Last name:
Address 1:
Address 2:
City:
State (XX):
Zip code:
3)
Birthdate (mm/dd/yyyy):
4)
Home phone:
5)
E-mail address:
6)
Gender:
Select One
Male
Female
7)
How did you hear about the Come Play Youth Hockey Workshop?
Select One
Email from USA Hockey
Tape-to-Tape Newsletter
Postcard in the Mail
Local Affiliate
Other (please specify)
If you selected other, please specify:
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