Our Hockey House School & Educator Interest Form
Share your school and contact details to express interest in upcoming skating and hockey opportunities—submission doesn’t guarantee placement.
Contact Name
*
First Name
Last Name
Role/Title
*
School Name
*
School District
*
Work Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred Contact Method
*
Email
Phone
Either
Your Role at School
*
Teacher/Staff Member
School Administrator
After-School Coordinator
District Representative
Other
Estimated Number of Interested Students
*
Approximate Grades or Ages of Interested Students
*
Which opportunities are you interested in for your school? (select all that apply)
*
December 2026 four-week returning-school session (for past participants only)
January–February 2027 IPS after-school programming
Field trip or introductory experience
Future school partnership
Future student referral/player pathway
Would like to schedule a class visit to introduce kids to hockey and free opportunities
Just want to pass along info with free opportunities for my kids/families
Unsure
Preferred Program Length
*
Four weeks
Eight weeks
Either
Needs discussion
Can your school select participating students for after-school programs?
*
Yes
No
Needs discussion
Can your school coordinate parent permissions for participating students?
*
Yes
No
Needs discussion
Can your school provide transportation for selected after-school participants?
*
Yes
No
Needs discussion
What student or family barriers do you anticipate for participation?
*
Transportation
Scheduling
Food support during future team programming
Clothing
Equipment
Parent communication
None known
Other
What does your school hope students will gain from participating? (Optional)
Is there anything else Our Hockey House should know? (Optional)
If different from above, who would be the primary program coordinator?
How did you hear about us?
*
I confirm I am an authorized adult school representative and permit Our Hockey House to contact me about partnership opportunities. If you have questions, please contact michelle@ourhockeyhouse.org.
*
I agree
Privacy Note:
Information is used only to evaluate partnership interest, plan capacity, and follow up. Submitting does not guarantee a program or placement. Availability depends on capacity and scheduling.
Submit Interest
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