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> Individual Registration - 2025
Step 1
Personal Information
Step 2
Programs and Products
Step 3
Consent
Step 4
Payment
* Indicates Required Field
Player Information
Are you a returning Player?
Yes
No
First Name *
Last Name *
Birthdate *
Access Code
(Only returning players need to enter the Access Code.)
What's my Access Code?
Email Address *
Verify Email Address *
Gender *
Male
Female
Address *
City / Hometown *
Province *
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Other
Postal Code *
Zip Code *
Phone Number *
Secondary Phone Number
Team code
What is your child's year of birth ?
This question is needed for our youth leagues.
What level are you playing right now ? (Ex. AAA, AA, A, Select, House League, Girls) *
What level will your child be playing this coming winter season ? Winter 2025 *
Example: Are they playing Rep AAA / AA / A / AE / Select / or House League
Division Requested *
3on3 Youth League
4on4 Youth League
PHL Turek Pro 4on4
PHL Women's Elite
PHLA Womens Rec Division
PHLA Womens Competitive Division
4on4 Girls League
Teammate Requested (Optional)
Enter the names of the players you wish to play with.
Team Name:
If you are registering for an already registered team using the team code provided by the coach. Enter the team name here.
Goalie or Player ? *
Goalie
Player
Parent/Guardian Information
This section applies to all of our leagues. Our youth leagues we need this information, for our adult leagues it is used for Emergency contact information.
Parent/Guardian First Name *
Parent/Guardian Last Name *
Parent/Guardian Email Address *
Parent/Guardian Phone Number *
Are you interested in coaching ?
Yes
No
Note: This question only applies to our Youth leagues.
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