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Submit Hockey Membership Application
Player Full Name:
*
Parent(s) or Legal Guardian(s):
*
Address:
*
City:
*
State:
*
Zip Code:
*
Home Phone:
*
Other Phone:
Date of Birth
month:
*
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
day:
*
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
year:
*
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
Family Email:
We never give your email to third parties. It is only for sending out announcements (e.g. weather related closures, schedule, etc.). We strongly recommend you include an email if you have one.
Preferred Hockey Program:
*
Learn to Play Hockey
House League
House Select Team
Travel Team
Select one or more programs that you have interest in for your child. Please note that the House Select and Travel teams are select teams. Questions about which program your child should sign up for? Go to our
Hockey Programs
page to learn more.
Online Applications
Coaching Application
Learn to Play Hockey (Free)
House League
House Select Team
Travel Team
Mail a Payment
Members may make tuition payments by mailing their payment to:
Keene Youth Hockey Club
P.O. Box 42
Keene, NH 03431
Make a Payment Online
$
KYHC Scheduler:
Christopher Stroshine
cstroshine@precitech.com
scheduler@keenehockey.org
603-357-1409
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