Our Hockey House-Summer Interest Form
We are considering hosting another Hockey Basics class this summer, at the Coliseum (State Fairgrounds), the last week in May through Early July. We are looking to gauge interest to see what we can do with ice time and coaching.
Have you participated in our Hockey Basics Classes before?
*
Yes
No
Has your child participated in an IPS after school enrichment program with us?
*
Yes
No
Did your child participate in Try Hockey For Free at Holliday Park?
*
Yes
No
Which programs are you interested in signing your kid(s) up for (select all that apply)
*
Hockey Basics (like we do at Holliday Park)
Player development (more advanced structured training and scrimmage games)
Street Hockey
Number of kids you would be registering
*
1
2
3
4
5
6
Child's Name
*
First Name
Last Name
Age:
Back
Next
Save
Child's Name
First Name
Last Name
Age:
Back
Next
Save
Child's Name
First Name
Last Name
Age:
Back
Next
Save
Child's Name
First Name
Last Name
Age:
Back
Next
Save
Child's Name
First Name
Last Name
Age:
Back
Next
Save
Child's Name
First Name
Last Name
Age:
Back
Next
Save
Parent's Name
*
First Name
Last Name
Phone Number
*
By submitting, you authorize us to call or text you about your child or important program updates; such as cancelations due to weather.
Format: (000) 000-0000.
Email
*
By submitting, you authorize us to email you about your child or important program updates; such as cancelations due to weather.
Back
Next
Save
Donation Amount
prev
next
( X )
USD
Ice time for one hour/week for 6 weeks can cost up to $2400. If you are willing and able, your contribution make this free summer programing possible. You can also make a donation at https://givebutter.com/donateohh If you are unable to donate at this time, we completely understand! That's why we do what we do, so the experience of hockey can be accessible for all.
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Save
Submit
Should be Empty: