Brooklyn Blades Online Registration

Registration for the Adult Clinic in now Open!

Please fill out this form to register electronically for the 2007-2008 season. You will receive more information by email shortly after. If you have any questions or concerns, please address them to info@brooklynblades.org.



Player Information

First Name
Last Name
Address        Apt.#
City     State     Zip
 
Home Phone (please include area codes)
Work Phone
Cell Phone
Email Address
  (please provide a complete and valid email address as it will be used to send you a receipt)
Sex Female Male
Date of Birth mm/dd/yyyy
Current Age


Please choose one of the following
I check the above email account regularly, and would like to receive notices via electronic mail only.
I would like to receive notices via postal mail only.
I would like to receive notices via both electronic and postal mail.


For Youth Hockey players only
Parent's Name
Home Phone (please include area code)
Work Phone
Cell Phone
 


Program Information  
Is this your first time registering for the Brooklyn Blades?   Yes No
Program Desired
Years of Hockey Experience
Highest Level of Hockey You've Played
Favorite Position


If you are interested in volunteering as a coach, team representative, administrator, or in any other way, please email info@brooklynblades.org.