Play Ice Hockey
with
and
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 _______________________________________
PLAYER’S 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 (______)______________________
FATHER’S NAME __________________________________________________________
(LAST NAME) (FIRST
NAME)
MOTHER’S NAME __________________________________________________________
(LAST NAME) (FIRST
NAME)
PLAYER’S
POSITION__________________
SHOOTS : RIGHT LEFT
(CIRCLE ONE)
REGISTRATION DEPOSIT OF
$50.00 PER MINI-MITE
MUST ACCOMPANY THIS FORM
MAIL THE COMPLETED APPLICATION AND
A COPY OF THE
PLAYER’S BIRTH CERTIFICATE TO:
S.C.S.H.A. REGISTRAR
P.O.