Birthday Party Registration

Please contact Liam McDonald at the Hockey Development Center before you register to confirm a date and preferred times. Please fill in the following information to register. Fields marked with * are required.

Player Information

First Name: *

Last Name: *

Birth Year: *

Address 1: *

Address 2:

City: *

State: *

Postal Code: *

Name of Parent/Guardian: *

2006/07 Team/Playing Level: *

Phone Number: *

Be sure to include your area code (123-123-1234)

Email Address: *

Optional Note for Special Needs/Other:

Emergency Contact / Insurance Information

Emergency Contact: *

Emergency Contact Phone Number: *

Insurance Provider: *

Insurance Policy Number: *

Insurance Phone Number: *

Program Details

Select Pass: *

1 Hour On-Ice: $150

2 Hours On-Ice: $300

1 Hour in Training Center: $225

2 Hours in Training Center: $450