Instructions:
  • Please fill in all fields that apply and click the Submit button.
  • NOTE: A copy of the player's USA Hockey registration must be included with this registration form. You can register by going to www.usahockey.com
  • Please click on the "consent to treat" form below and fill it out and send it with your registration.
PLAYER INFORMATION - (Use name as it appears on birth certificate)
First Name:
Last Name:
Middle Name:
Street Address:
City:
State:
Zip:
Date of Birth: / / (mm/dd/yyyy)
Sex: Male   Female
Home Phone Number: ( ) -
Father's Name:
        Work or Cell Phone ( ) -
        Email Address
Mother's Name:
        Work or Cell Phone ( ) -
        Email Address
US Citizen? Yes No
        If not, what country?
Please check the division in which you are registering for (age as of 12/31/2009)
Division:
I plan on having my child try out for an All Star team? Yes No
Were you registered with BGYHA in the 2008/2009 season? Yes No
* If you are new to the organization, a copy of the player's birth certificate must accompany this registration
Payment Method:
 
 

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