Registration Form

Shawano Hockey Registration Form

Please go to the USA Hockey Website FIRST, to register on their site before you register here. (You will need to provide your USA Hockey Confirmation number below.)

Please note: the fees which you pay to USA Hockey for registration will be reimbursed via a credit against your SHL Registration fees, as long as you bring your USA Hockey registration receipt with you to the Open Hockey Night registration meeting.

Also note: Registration will be final when Shawano Hockey receives a copy of your child's birth certificate and the appropriate registration fees. Fees and birth certificates can be mailed or brought to the Crawford Center on the following days:
Early Registration Night Wednesday, July 27th 5 - 8 p.m.
or Registration Payment Due Night Friday, September 30th 5 - 8 p.m.

Player Information

Proper selection of a team is based upon the age the player will be by December 31st of the current year.
First Name
Last Name
Middle Initial
Address
City
Zip Code
Home Phone
Date of Birth
US Hockey Registration Confirmation Number

Father/Guardian Information

First Name
Last Name
Email Address
Address (if different than player)
City (if different than player)
Zip Code (if different than player)
Home Phone
Work Phone
Cell Phone

Mother/Guardian Information

First Name
Last Name
Email Address
Address (if different than player)
City (if different than player)
Zip Code (if different than player)
Home Phone
Work Phone
Cell Phone

Following are the Registration Fees

Division	Fee if Paid by 7/27/11	Fee if Paid by 9/30/11	Fee if Paid after 10/1/11*
Mini Mite (age 5-6)	$47	$50	$100
Mite (age 7-8)	$71	$75	$125
Squirt (age 9-10)	$215	$225	$275
PeeWee (age 11-12)	$260	$275	$325
Bantam (age 13-14)	$380	$400	$450
*excludes new players to SHL

Acknowledgement:

I, the undersigned parent/guardian, give my permission for my child to participate in the athletic program sponsored by Shawano Hockey League (SHL). It is understood SHL is a non-profit, volunteer organization which sponsors this program as a community service and that neither SHL, its officers, nor its agents are responsible for expenses of damages resulting from injury to partipants who are sustained in conjuction with, incidental to, or in any way as a result of a SHL sanctioned activity.

Accordingly, the undersigned HEREBY EXPRESSIVELY AGREE to waive all claims against and hold exempt from liability its officers, directors, coaches, and any other person affiliated with SHL, for injury or injuries sustained by the above reference child, from whatever cause while attending, participating, or traveling to or from SHL activities.

The undersigned parent/guardian and player hereby agree to abide by all rules, regulations, and policies of USA Hockey, the Wisconsin Amateur Hockey Association and the SHL.
Parent or Guardian Electronic Signature
Date:
Player Electronic Signature
Date: