Player Registration

This form is for informational purposes for the 2022-23 season and does not require any financial commitment. Hockey training and game play offerings will be emailed to you for your review.

Player Name(Required)

First Last

Player Nickname (Optional)

Age(Required)

D.O.B.(Required)

Gender(Required)

Hockey Experience(Required)

Preferred Position (Optional)

Forward / Defense / Goalie

Parent/Guardian Name(Required)

First Last

Parent/Guardian Phone(Required)

Parent/Guardian Email(Required)

Parent/Guardian Name

First Last

Parent/Guardian Email

Parent/Guardian Phone

Special Medical Needs

2 + 2 = ?(Required)

Western Door Hockey occasionally uses photos of the players and families to celebrate the hockey experience. Please contact the Coaching Staff if you do not wish to have your child included.