Our Hockey House - IPS Hockey Interest Form for Families
This is not a commitment, it simply helps us plan ahead and better serve your families. By filling this out, you will receive updates and registration forms for our hockey programs that best fit your family. We’re excited to continue growing this program and appreciate your help as we plan ahead!
Parent / Guardian Information
Parent / Guardian Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred Contact Method
*
Email
Text
Phone
Do your kids attend IPS Schools?
*
yes
no
some do
How did you hear about us?
*
Back
Next
Household Interest and Child Details
Number of children ages 5-16 interested:
*
Please Select
1
2
3
4
5
6
7
Child details
*
Back
Next
Child details
*
Back
Next
Child details
*
Back
Next
Child details
*
Back
Next
Child details
*
Back
Next
Child details
*
Back
Next
Child details
*
Back
Next
Child details
*
Program Interest and Availability
Which opportunities are you interested in?
*
Community Hockey Basics
IPS school programming
Future Player Development
Future high-school development team pathway
Unsure / help us choose
Which program time works for your family?
*
5-6p
6-7p
Either
Interested, but neither works
Which program day works for your family?
*
Wednesday
Thursday
Either
Interested, but neither works
Support Needs and Additional Context
Child 2 Details
What support is needed by your family to help make participation possible?
Transportation
Gas assistance
Scheduling / time
Food during future team programming
Clothing
Equipment
None
Other
Is there anything else you would like us to know?
Child 2 - First name and last initial
*
Submit Interest Form
Child 2 - Age
*
Child 2 - Grade
*
Child 2 - School
*
Child 2 - Hockey experience
*
No skating/hockey experience
Skated a few times
Skating lessons
Prior Our Hockey House participant
Organized hockey
Other
Other
Child 3 Details
I confirm I am the child’s parent or legal guardian and I am at least 18 years old
*
I confirm
I consent to Our Hockey House contacting me by email or phone about current and future program opportunities
*
I consent
SMS Consent
I agree to receive text messages from Our Hockey House about current and future program opportunities. Message and data rates may apply. Reply STOP to opt out.
Children should not complete this form.
Child 3 - First name and last initial
*
Child 3 - Age
*
Child 3 - Grade
*
Child 3 - School
*
Child 3 - Hockey experience
*
No skating/hockey experience
Skated a few times
Skating lessons
Prior Our Hockey House participant
Organized hockey
Other
Other
Child 4 Details
Child 4 - First name and last initial
*
Child 4 - Age
*
Child 4 - Grade
*
Child 4 - School
*
Child 4 - Hockey experience
*
No skating/hockey experience
Skated a few times
Skating lessons
Prior Our Hockey House participant
Organized hockey
Other
Other
Should be Empty: