Concord Youth Hockey Association - (Concord, NH)

2024-2025 Learn to Skate (LTS) & Intro to Hockey (Atoms) Registration

Registration and tuition payment must be completed "on-line" to roster 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 April 2021 in order to participate.)

* Gender:

* Grade:

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

* Prior Youth Hockey Association (if applicable):

* Prior Skating/Hockey Experience (Select One):

* Registering for (Select One):

Learn to Skate

Intro to Hockey

Not Sure. Contact us.

* LTS (LTS) or Intro to Hockey (Atoms) Session Preference:

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:

FIRST YEAR SKATER LEARN TO SKATE EQUIPMENT PACKAGE

Learn to Skate (LTS) Equipment packages are available to ALL first year players AND Concord Youth Hockey paid registrants at discounted pricing. Equipment packages are available at CSG Hockey, 276 N. State St. in Concord. To qualify for the package, copy your confirmation showing you have enrolled your child and fully paid the tuition. (The confirmation will be sent to you upon completion of payment.)

PAYMENT INFORMATION

Winter Session - Dec. 28 to March 2, 2025.

Learn to Skate (LTS) tuition: $240.00 per session.
Intro to Hockey (Atoms) tuition: $240.00 per session.
Both LTS and Atoms require payment in full at the time of this registration.

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 Contacts:
Program Director - Wes Riley - URAA@aol.com - 603-496-0146
LTS/Atoms Administrator - Samantha Schechter - cyhsamantha@gmail.com
"On-Ice" Head Coach - Kyle Poirier - leafspuck@gmail.com

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