Player Registration Form
You MUST be a player's parent/guardian to complete this form.
You will need to upload a copy of the player's birth certificate or passport at the end of this form IF this is the first time they are playing High School Hockey.
PLAYER's Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Parent/Guardian Name
*
Parent/Guardian's Cell number
*
Parent/Guardian's E-mail
*
example@example.com
Confirm E-mail
*
example@example.com
Birthday
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a 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
Day
Please select a year
2014
2013
2012
2011
2010
2009
2008
2007
2006
Year
Players born in 2007 or earlier must complete SafeSport training on USAHOCKEY.COM before being rostered.
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Your Home School District
*
Name of School you will attend in Fall
*
Grade in the Fall
*
Please Select
6
7
8
9
10
11
12
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Club Name You Will Be Playing For
*
Please Select
Connetquot/Sayville
East Islip
Eastport/South Manor
Half Hollow Hills
Kings Park/Commack
Longwood
Middle Country
Northport/Huntington
Patchogue/Medford
Riverhead/SWR
Sachem
Smithtown/Hauppauge
Southampton
St. Anthony
St. John
Ward Melville
West Islip
TBD (Draft player)
You must have a Current USA hockey Registration Bar Code Number. 2024-2025 Registration numbers must have a "5" as the 4th number.
USA Hockey Registration Number. 2024-2025 Registration #s have a "5" in the 4th number.
*
9-digits and 5-letters
First Time High School Players MUST Submit a copy of their BIRTH CERTIFICATE or PASSPORT
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PDF Preferred - File Name must be Player's Name (LastFirst No Spaces) . Example: SmithJohn.PDF
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I, Parent/Guardian named above, have given permission for my child, named above, to participate as a player for the organization named above (known as “The Organization”) in the Suffolk County High School Hockey League (known as “The League”). I acknowledge that I will be responsible for payment of all fees related to the hockey season and that these fees are non-refundable once the season begins. Further, I acknowledge that I know of no medical reason why my child cannot participate and that “The Organization” and “The League” disclaims any and all liability with respect to injuries incurred during participation in an ice hockey activity sanctioned by “The Organization” or “The League”. However, I will advise “The League” of any pre-existing medical condition my child has that may require special treatment in the event of a medical emergency. Insurance regulations, USA Hockey rules, League Bylaws and/or Organization rules require all players participating to wear full equipment both on the ice and on the bench. This includes, but is not limited to, approved helmet, neck-guard and mouth-guard.All players, parents, and spectators are expected to adhere to all Rules, Regulations and By-Laws of USA Hockey, The New York State Amateur Hockey Association, The Suffolk County High School Hockey League, the rules of good sportsmanship and common sense. Unsuitable conduct may result in the expulsion of a spectator from the arena or in a player’s dismissal (no refunds). *
I have read and agree to the above policies.
Parent/Guardian Initials:
initials
*
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*
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