Crescent City Hockey League

Fall 2006 Youth Inline Sign-up Sheet

• Returning players from the season pay: $212
• New players joining our league pay: $137
• Sibling discount is $25 for the additional player(s).
• Teams Sponsors Needed
• Mail to: CCHL, PO Box 640922, Kenner, LA 70064
• Make checks payable to: CCHL

Player’s name:_____________________________________

Address:_______________________ City/Zip____________

Telephone:________________________________________

Alt. Telephone_____________________________________

Email:____________________________________________

Player’s DOB:_____________________________________

Mom’s Name:______________________________________

Dad’s Name:_______________________________________

School:___________________________________________

Comments: _______________________________________

Will you sponsor a team? YES NO Sponsor fee $240 (less $50 off registration fee)

Parent/Guardian: The CCHL is an all-volunteer organization. We need your involvement. (circle one)

(Coach) (Asst. Coach) (Scorekeeper) (Team Parent) (Referee) Other:_________