LAIHA Registration - Winter 2012

Revised 12/7/2011

Be aware that a convenience fee of around 3% will be charged when paying on-line. Want to mail in your registration? Print this form and mail it along with your payment to this address: 

LAIHA / Jim Martin
1984 Favell Ct.
Lexington, KY 40503

Name:

E-mail address:

Enter e-mail address again to confirm:

Mailing address:

Phone number:

Desired League: B League C League

Previous Team:

Jersey Number (leave blank if no previous team):

USA Hockey Confirmation Number:

USA Hockey registration required ($35)

If you are not a USA Hockey member, register here, or check the box above to allow LAIHA to register for you.

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

Date of birth (needed only if USA Hockey Registration required above is checked)

Note: Every new player must come to pre-season pickup games so League officers and captains can assess their abilities and place them on an appropriate team. Our desire is to maintain a competitive league where each team has a chance to win games. If you have played C League for a session, you may be pulled up to the B League if captains and/or officers deem the move appropriate. A B League player may only move down to C League by special permission of the LAIHA Officers. Player handbooks will be available for all by the start date. You are required to know and understand the rules. Ignorance is no excuse - it is your responsibility as a player in the league to understand the rules and policies.

Fees
Full Time or Part TimeNormal playersCaptains or OfficersGoalies
Full Time (20 Games) $350 $250 $100
Part Time (10 Games) $200 N/A N/A
Extra Games $25 Each N/A N/A
Jersey (for players that don't already have one) $35 $35 $35

I Am A Goalie

I Am A Captain or Officer

I Am A Referee

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