Information Request Form

Interior Youth Hockey Association

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(907) 687-5442

The Interior Youth Hockey Association will be accepting applications for the 2008-09 youth hockey season. If you would like to be notified about any IYHA events or have questions about our organization please complete the form below.

Privacy Notice:
The information you provide below will only be used by IYHA to notify you of events and to improve our program. We will not share your data with any other organizations.

Contact Information

Please let us know how we may reach you.

Name:
Email:
Phone:
Address:
	Please add me to your mailing list

Player Information (optional)

Please tell us about your players. This information is optional and will help us to determine the demand for the various levels of play. Select all that apply to your family.

In what Division would your children be playing:

Learn to Skate or Learn to Play (new players, 10 and younger),
Mites (8U), Squirt (10U), Pee Wee (12U),
Bantam (14U), Midget (16-18U)

What Competitive Levels would your children like to play:

Recreational (House/Tier IV/D), Advanced Recreational (Tier III/C),
Competitive (Tier II/B)

How many players are in your family:

Comments

Please let us know if you have any questions, comments, or suggestions for types of programs that you would like to see us offer:

How did you hear about our program?

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