Spring League Online Form
Spring League Online Form
All Fields marked with an asterisk (*) are required.
Application Type:*
-- Select an Application --
Team (Deposit)
Player (Full Payment)
The total amount due for each team is $1999. The balance of $1800 is due no later than May 1, 2018.
The total amount due for each team is $1299. The balance of $1100 is due no later than May 1, 2018.
Player
Information
Payment Information
First Name:*
Last Name:*
Team Name:*
Coach's Name:*
Division:*
-- Select a Division --
Elite/AAA
"AA"
Open
Position:*
-- Select a Position --
Forward
Defense
Goalie
Age Level:*
-- Select an Age Level --
Boys Mites (2010 & Younger)
Boys Squirts (2008 & 2009)
Boys Peewees (2006 & 2007)
Boys Bantams (2004 & 2005)
Boys Midgets (2000-2003)
------------------------
Girls U8 (2010 and Younger)
Girls U10 (2008 & 2009)
Girls U12 (2006 & 2007)
Girls U14 (2004 & 2005)
Girls U19 (2000-2003)
Date of Birth:*
Month
January
February
March
April
May
June
July
August
September
October
November
December
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
Preferred Location:*
-- Select a Location --
Haverhill & Lawrence
Malden & Hockeytown
Street:*
Apt:
City:*
State:*
Zip Code:*
Phone (Evening):*
(
)
–
Phone (Daytime):*
(
)
–
Cell Phone:
(
)
–
Email:*
Special Requests:
Current Team:
Amount to be Charged:
Credit Card Type: *
-- Select --
American Express
Discover
Mastercard
Visa
Name on Card: *
Billing Address same as Player's Address
Billing Street:*
Billing Apt:
Billing City:*
Billing State:*
Billing Zip Code:*
Card Number: *
Enter numbers only, no spaces or dashes
Expiry Date *
Mo.
1
2
3
4
5
6
7
8
9
10
11
12
Year
2018
2019
2020
2021
2022
2023
2024
2025
2026
Waiver
I/we understand that accident, health and personal insurance are not provided. I/we verify the above information to be true and give our child permission to participate in the Valley Spring League. I/we the parents/guardians of the above named registrant in the Valley Spring League, hereby give permission for the registrant to participate in any and all activities during the 2018-19 season. I/we hereby waive, release, absolve, indemnify and agree to hold blameless the Valley Spring League, its organizers, sponsors, supervisors, participants and persons transporting my/our registrant to and from activities and any claims arising from an injury to my/our registrant. I/we assume all risks and hazards incidental to such activities and participation. I/we will furnish a birth certificate upon request of the League. I further give permission for the above applicant's name to be posted on the Valley Hockey League website at
www.valleyhockeyleague.com
.
I Accept
Please enter the Security Code:*
