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Play Ice Hockey

with

St. Clair Shores Parks & Recreation

and

St. Clair Shores Hockey Association

 

Openings this Fall season in the Mini-Mite Program

 

       Ages 4-6 years

       No experience required

       On ice skills taught by professional hockey instructors

       Non-competitive instructional environment with game days

       Low monthly ice bills at community owned ice complex

       Lowest cost program in the metro area per hour of ice

       Season begins in September and concludes in March

       Residency not required

       Register now to reserve your space

       Returning players get priority selection for following years

       Registration form on reverse side of flyer

 

Join now and become part

of the fastest Game on Ice†††††† †††††††††

†††††††††

 

 

 

 

 

 

 

 

NEW MINI-MITE REGISTRATION FORM

FALL SEASON

 

THIS AREA FOR SCSHA LEAGUE USE ONLY

 

POSTMARK DATE________________________†† DIVISION/AGE CLASSIFICATION__________________________

 

CHECK OR MONEY ORDER NUMBER AND AMOUNT††††††† _______________________________________

 

 

PLAYERíS LEGAL NAME:______________________________________________††††† †††††††††††††††††††††††††††††††††††††††††††††† ††††††††††††††††††††††††††††††††††††††††††††††† (LAST NAME)††††††† †††††††† (FIRST NAME)††††††††††† (MIDDLE IINITIAL)

 

DATE OF BIRTH_______________††††††††††††††††††††††††††††††††††† SEX:†† M†††† F

††††† (MONTH/DAY/YEAR)††††††††††††††††††††††††††††††††† ††††††††††† (CIRCLE ONE)

ADDRESS ____________________________________________________________________

 

CITY ________________________________STATE __________ZIP CODE _____________

 

PHONE #1 (_____)___________________††† PHONE #2†† (______)______________________

 

FATHERíS NAME††††† __________________________________________________________

††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† (LAST NAME)††††††††††††††††††††††††††††††††††††††††††††† (FIRST NAME)

MOTHERíS NAME††† __________________________________________________________

††††††††††††††††††††††††††††††††† ††††††††††††††††††††††††††(LAST NAME)††††††††††††††††††††††††††††††††††††††† (FIRST NAME)

PLAYERíS POSITION__________________††††††††††††† SHOOTS :†† RIGHT††††† LEFT

††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† ††††††††††† (CIRCLE ONE)

 

REGISTRATION DEPOSIT OF

$50.00 PER MINI-MITE

MUST ACCOMPANY THIS FORM

 

MAIL THE COMPLETED APPLICATIONAND

A COPY OF THEPLAYERíSBIRTH CERTIFICATE TO:

S.C.S.H.A. REGISTRAR

P.O. BOX653

ST. CLAIR SHORES,MI48080-0653