Association Name *

Contact Name *

Contact Phone *

Association U8 Membership *
Approximate total number of U6/U8 players on teams in your association last season
(ignore LTP/Intro)

Preferred Event Date * (mm/dd/yyyy)
Target date must be AT LEAST 10 WEEKS from time of submission.

Alternative Date 1 * (mm/dd/yyyy)
Target date must be AT LEAST 10 WEEKS from time of submission.

Alternative Date 2 * (mm/dd/yyyy)
Target date must be AT LEAST 10 WEEKS from time of submission.

On-Ice Start Time *
Assumes it's the same for all three event date options.

On-Ice End Time *
Assumes it's the same for all three event date options.

Rink Name *

Rink Address *

City *

State (2 Letter Abbreviation) *

Postal/ZIP Code *

Preferred Total Hockey Store for Fittings *

First Stride Participant Goal *
The number of players your club hopes to register for this event.