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Lexington Amateur Ice Hockey Association

Goalie Registration Form

First name

Last name

Email

Phone

Address

Age

USA Hockey ID Number

I understand I must have a USA Hockey number to play in the league.

How many years have you played hockey?

What's the highest level of hockey you've ever played?

Please indicate which League you would like to register for . ( Please be aware that all Goallies are drafted and you may end up playing in a different league than what you registered for )

I have read waiver of liability and accept the terms and conditions.

Waiver of Liability

Please select one option below. *

Goalie - 15 Game Session - $180.25

3 % Online Fee Included.

Thanks for submitting!

All players must be registered as USA Hockey Members. This is a $51 annual fee.

If you are not a USA Hockey member, register here

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Lexington Ice Center

560 Eureka Springs Drive, Lexington, KY 40517

Phone: (859) 269-5681

© 2015 by LAIHA.

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