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High End Hockey
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Registration

Registration Form

New Account Information  Already a Member? Login here
Email Address *
Password *
(at least 6 characters)
Contact Information
Name *
Alternate Email Address(es)
(separate multiple by commas or semi-colons)
Phone Number
Address
City
State/Zip
Member Information
Spouse/Partner's Name
Email #2
Phone #2
Cell Phone
How did you hear about High End Hockey?
Clinic
Clinic *
Details
• Code: ESG19
• Name: 2019 Elite Skills Group
• Schedule: Tue and Thu from Jun 11 to Jun 21, 2019
• Time: 6:00pm - 7:00pm
• Price: $995.00
Location
Breakaway Ice Center
20 Carter Street
Tewksbury, MA 01876
Player
Player's Name *
DOB *
Current Team
Position
Shoots
Payment
Amount
$995.00  
Payment Plan
(payments are charged monthly on the same day as registration)
Promo Code
   
Payment Method
     
Directions
High End Hockey
90 John Street
Tewksbury, MA 01876
Name on Card *
Card Number *
Expiration Date *
Keep Credit Card on File
(payment plans require info to be saved on file for automatic monthly payments until the balance is paid in full)
   
Billing Address 
Address *
City *
State/Zip *
Optional
Comments
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