Concord Youth Hockey Association - (Concord, NH)

2024-2025 DynoMites (Birth Years 2019 to 2016) Registration

Registration and tuition payment must be completed "on-line" to register a player in any of our programs. We can no longer accept "paper" registrations.

PLAYER INFORMATION

* First Name:

* Last Name:

* Street:

* City:

* State:

* Zip Code:

* Birthdate:

(NOTE: Players MUST be born prior to December 31, 2019 in order to participate. Players born after must contact Wes Riley - Program Director, at uraa@aol.com, to request a waiver.)

* Gender:

* Grade:

* School/Child Care Center Attending in Fall - 2024:

* Prior Youth Hockey Association (if applicable):

* Prior Skating/Hockey Experience (Select One):

PARENT/GUARDIAN #1

* Firstname:

* Lastname:

* EMail:

* Home Phone:

* Work Phone or Cell Phone:

PARENT/GUARDIAN #2 (Required if player also resides with another parent)

Firstname:

Lastname:

Email:

Home Phone:

Work Phone or Cell Phone:

MEDICAL/EMERGENCY CONTACT INFORMATION

* Emergency Contact:

* Cell Phone:

* Relationship to Player:

PAYMENT INFORMATION

DynoMite Full Season Tuition is $1,160.00 for the 2024-2025 Season. Tuition is payable $400.00 upon registration followed by two payments of $380 due October 15 and November 15. October and November payments will be invoiced separately, through PayPal, to the email address provided.

TUITION INCLUDES THE AAU HOCKEY INSURANCE FEE OF $22.00.

NOTE: Due to insurance requirements, ALL players will be registered with AAU Hockey prior to any on-ice activities with Concord Youth Hockey. 2024-2025 TUITION INCLUDES THE AAU HOCKEY INSURANCE FEES!! If you are already a member of AAU, please notify Wes Riley at uraa@aol.com with your AAU member number and a transfer to AAU Hockey will be made. AAU Hockey will notify you, by email, of your AAU membership.

The City of Concord and the Everett Arena subscribe to "LiveBarn" - a live web streaming video service. "LiveBarn" is active during all "on-ice" activity. Concord Youth Hockey may also take pictures and/or videos of all individual program participants at its discretion for promotional purposes. By registering with our program, you will be authorizing images of your child to be taken and used for these purposes.

Email Contact:
Program Director - Wes Riley - URAA@aol.com - 603-496-0146
LTS/Atoms Administrator - Samantha Schechter - cyhsamantha@gmail.com
DynoMite Division Head Coach - Matt Nadeau - mattjnadeau@gmail.com

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