St. Rose "Frozen Roses" Ice Hockey Team

Player Registration Form

Please complete the following information to register your player.

IMPORTANT: YOU MUST select the "Submit" button upon completion
(at the bottom of the page).

Player fees for 2018-2019 TBD

* Players Full Name:

Graduation Year:

* Player Street Address:

* Player City or Town:

* Zip Code:

* Home #:

Player's Cell #:

* Player's Email:

* Father's Name:

* Father's Cell #:

Father's Email:

Mother's Name:

* Mother's Cell #:

Mother's Email:

* Player Fee:

Current Player - ($500.00)

Future Player - (No Charge)

Alumni Player - (No Charge)

All checks payable to: "St. Rose High School"
Indicate "Ice Hockey" in memo field

Mail Checks to:
Bill Coyle
c/o SRIHPA
PO Box 477
Spring Lake, NJ 07762

Jersey Size:

* Current Travel team (if applicable):

Position:

Forward

Defense

Goalie

Please enter any special instructions:

* Height:

* Weight:

* indicates required fields

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Player Registration Form