LAIHA D League Registration - Winter 2009

Revised 11/13/2008

Want to mail in your registration? Print this form and mail it along with your payment of $180 to this address:

LAIHA / Jim Martin
2956 Polo Club Blvd.
Lexington, KY 40509

Name:

E-mail address:

Enter e-mail address again to confirm:

Mailing address:

Phone number:

Desired League: D League

New player who needs jersey?

USA Hockey Confirmation Number:

If you are not a USA Hockey member, register here.

If you are already a USA Hockey member and do not have your confirmation number, request a receipt here.


Existing C league players may play in the D league with league approval.

Fees


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