Registration Form

Registration Form-Youth Inline Hockey- ALL AMERICAN-Winter-2009/10

WELCOME to another exciting season of inline hockey at All-American Sports mall. For our returning families, we appreciate your dedication to our leagues, and to our new families; we welcome you to an exciting and pleasurable environment. We are committed to helping you and your player have an enriching experience while playing here. There are many benefits derived from playing hockey. Boys and girls learn good sportsmanship and self-discipline. They discover how to work together, how to sacrifice for the good of the team how to enjoy victory and how to handle defeat. We ask that you be your child’s biggest fan and enjoy your time here with us. Please feel free to contact us with any questions, comments or suggestions. We welcome your thoughts~!

The Staff of All-American Sports Mall
314-487-4625
www.allamericaninlinehockey.com
11133 South Lindbergh Business Ct, St. Louis, MO 63123

YOUTH REGISTRATION FORM - Winter Session

NEW TEAM NAME PLACEMENT:

PRIOR TEAM NAME:

Child's Name:

How long have you played?

Roller:

Ice:

Current Age:

Date of Birth:

Home Phone:

Cell Phone:

E-MAIL ADDRESS(MANDATORY):

Mom's Name:

Dad's Name:

Mailing Address:

City:

Zip Code:

Are you a goalie? Yes No

Interested In Coaching? Yes No

Fees: $145.00 For the Session, An Additional $30.00 will apply to new players participating on a house team
(This is a one time fee, unless you need a jersey replacement)

Division:

8U / Open Div
10U (1999 - 2000)
12U (1997 - 1998)
14U (1995 - 1996)
16U (1993 - 1994)
High School

LEARN TO PLAY (open Div) Included in your fee

FULL TIME GOALIES $75.00 Yes No

LTP (Not in league) $75.00 Yes No

(15% discount available until 12-31-09) Deadline strictly enforced. Register EARLY.