If you have any questions contact the IceRays front office at 361-814-7825 (Ask for Amanda)
CCAHA SIGN UP FORM
PLEASE SIGN UP BY EITHER....
A.) DOWNLOADING THE FORM, FILLING IT OUT, AND BRING IT TO THE ICERAYS
FRONT OFFICE OR FAX IT TO 361-980-0003.
B.) FILL OUT THE ONLINE VERSION BELOW.
2014-2015 COST: $385
Youth Hockey Registration
Corpus Christi Amateur Hockey Association
Player Application and Information Form
Player Name: ________________________________________________________________
(Last) (First) (Initial)
Circle One: Male Female Age _____ Date of Birth _____________________
****CCAHA MUST HAVE A COPY OF BIRTH CERTIFICATE AND USA
HOCKEY REGISTRATION NUMBER BEFORE PLAYER IS ALLOWED ON THE ICE*****
Cost is $385.00 for the Season
City: _____________________________________________ State: _____ Zip: _____________
Home Phone: ______________ Cell Phone: _______________ Texting # : _______________
E-mail Addresses: _______________________________________________________________
Mother’s Name: ________________________ Employer: __________ Work #: ______________
Father’s Name: _________________________ Employer: __________ Work #: ______________
Previous Ice Hockey experience? ____ Yes _____ No
Parents please read and sign the following statement:
The player named above has my permission to participate in the activities of the Corpus Christi Amateur Hockey Association, (hereinafter named CCAHA). I agree to pay the fees and abide by the policies established by CCAHA. I also understand that the player must be a member of USA Hockey in good standing. If I fail to do either, the player will not be allowed to participate. I release and will not hold responsible CCAHA, it’s officers, coaches, referees, other players or the Corpus Christi Ice Rays and its staff for any accidents or injuries occurring as a result of activities sponsored or directed by CCAHA. I give my permission for CCHA or its representatives to obtain emergency medical attention for my child if I am not available for consultation at the time of injury.
Parent or Guardian Signature Date
BRING THIS FORM TO THE ICERAYS FRONT OFFICE OR FAX TO 361-980-0003