GOAL Registration

Thank you for your interest in Chippewa Youth Hockey's GOAL program!

GOAL will be held on the following dates:

January 15, January 20 and January 22 from 5:45-6:45 pm on the South Rink.

Reminders and more information will be sent prior to these dates.

Skater's Name:*

Skater's Gender:*

Skater's Birthdate:* Use format of mm/dd/yyyy.

Parent/Guardian Name:*

Parent/Guardian Phone Number:*

Parent/Guardian Email Address:*

Does the skater have any previous skating experience?*

Will the skater need any of the following items?*

Skates

Helmet

Helmet & Skates

None

How did you hear about the GOAL program?