Register for AAA Hockey to Join a Triple A Hockey Program

Player Information

Player's Name*

First Last

Player's DOB*

MM

DD

YYYY

Player's Height*

Feet	Inches

Player's Weight in pounds*

Team You're Registering For*

Select Team Level You're Registering For*

Level You're Playing At in 2019-20*

Preferred Position*

Returning Player*

Current Association*

Coach/Manager Opportunities

Previous AAA Teams, If Any

Accomplishments / Highlights From This Season

Parent / Guardian Information

Father's Name*

First Last

Father's Phone*

Mother's Name*

First Last

Mother's Phone*

Primary Email*

Address*

Street Address Address Line 2 City State ZIP Code

Release of Liability

Release of Liability*

I/We understand that Northland Hockey Group, LLC et al does not carry insurance on its players. I agree to save, hold harmless and indemnify Northland Hockey Group, LLC, its officers, coaches, instructors, support and game staff from any injury my child may sustain while a participant. I also agree to possess health and dental insurance as a condition of my child's participation.

I Agree

Parent or Guardian Signature*