4x4 Rush Hockey
Registration Form 2024

Fill out 1 Registration Form per player.

CLICK ON ALL THAT APPLY *

Spring only = $260 for players

Spring & Summer Sessions = $470 for players

Summer only = $260 for players

Goalies = $30 (also select 1 box above)

Family Discount (for families with 2 or more participants)

First Name *

LAST NAME *

Birth Month *

Birth Year *

Level (last played) *

Home Address *

Has played 4x4 Rush Hockey before ?

YES

NO

Position *

Skater

Goalie

First & Last name *

Email Address *

Emergency Contact - Name & Number

Payment Options
Spring payment due by April 14 (Payment secures your spot)
Summer payment due by June 2nd *