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"No School Day" Registration

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: *

2007/08 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

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Emergency Contact Phone Number: *

Insurance Provider: *

Insurance Policy Number: *

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Program Details

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October 16

October 17

November 3

November 7

December 22

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December 30

January 19

February 16

Choose one or multiple dates.

Select Level: *

Mite

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U10/U12

U14

Hockey Development Center
20775 Holt Avenue
Lakeville, MN 55044
Phone: (952)-469-2218