7th and 8th Grade Skate – Lincoln-Way Hockey Club Registration

Player's Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State Zip Code

Date of Birth(Required)

2023-24 USA Hockey Number(Required)

High School Planning on Attending(Required)

Current Year in School(Required)

Primary Parent/ Guardian Name(Required)

First Last

Parent/ Guardian Address(Required)

Same as Player

Street Address Address Line 2 City State Zip Code

Parent/ Guardian Email(Required)

Parent/ Guardian Phone(Required)

2nd Parent/ Guardian Name

First Last

2nd Parent/ Guardian Address

Same as Player

Street Address Address Line 2 City State Zip Code

2nd Parent/ Guardian Email

2nd Parent/ Guardian Phone

Preferred Position(Required)

Shoots(Required)

Previous Hockey League

Previous Organization & Team

Phone

This field is for validation purposes and should be left unchanged.