WINTER
REGISTRATION FORM

First name

Last name

Phone

Address

Age

USA Hockey ID Number

How many years have you played hockey?

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

Waiver of Liability

Please select one option below if you wish to pay in full or only pay the 150 dollar deposit.

Full Time (15 Games) - $319.30

Full Time (15 Games)- Deposit - $154.50

Captain / Officer - Full time (15 Games) - $206.00

Captain / Officer - Full Time (15 Games) - Deposit - $154.50

Goalie - Full Time (15 Games) - $154.50

Goalie Hybrid - Full time (15 Games ) - $272.95

Goalie Hybrid - Full Time (15 Games) - Deposit - $154.50

Full Time 2 Leagues ( 30 Games ) - $515.00

Full Time 2 Leagues ( 30 Games ) - Deposit - $309.00

3 % Online Fee Included.

Thanks for submitting!

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 are available on this site. Click Here to view. 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.

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

A 150 dollar online deposit is required for everyone to register but if you prefer to pay the rest with a check you can send the remaining to balance to the address below

24041 Madaca Ln Apt 103

Port Charlotte , FL 33954

Payable to LAIHA or Lexington Amateur Ice Hockey Association

WINTER REGISTRATION FORM

WINTER
REGISTRATION FORM