Louisville's Premiere Ice Skating Facility
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Job Application
Thank you for your interest in our Youth House Hockey Leagues.
Please fill out the registration form below to register for the program.
Player First Name
*
Player Last Name
*
DOB
click on month and year to change
USA Hockey Number
*
Address
*
City
*
State
*
Zip
*
Email
*
Parent First
*
Parent Last
*
Parent Phone
*
Other Contact
Other Phone
Have you registered online with KAIHA
Yes
No
What days can you practice?
Monday Nights
Wednesday Nights
Is your player interested in playing Goalie?
Yes
No
Has your player ever played Travel hockey?
Yes
No
Does your player need a jersey or socks?
Jersey
Socks
Both Jersey and socks
Want to pay full season or two installments?
Full payment
Two installments ((1st on return of form & 2nd by 11/1/22)
Submit
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