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Minnesota PowerHockey™ League Player Online Registration (2007)

To register to participate in the MPHL please complete the form below. When finished, select Submit Registration electronically.

Player Information

First Name:

Last Name:

Birthdate:

Address:

City:

    

State:      Zip Code:

 

Home #:

   Cell #:

Email:

 

 

 

 

Parent/Guardian Information – Ages 13 to 18 (If applicable)

First Name:

Last Name:

Home #:

   Cell #:

Email:

   

Player Eligibility Notice:
To participate in the MPHL players must:

  • medically require the use of a power wheelchair in daily life
  • display cognitive ability to understand and follow basic hockey rules
  • be age 13 or older by May 12th, 2007
  • be independent in aspects of personal cares or be accompanied by their own caregiver/assistant
  • complete and sign Insurance Liability / Media Release Form

*Participants ages 13-15 must be accompanied by an adult (ie. family, guardian or caregiver).

Registration Fee:  $30 for entire season.  Please make checks payable to U.S.EWHA.

Disclaimer:

The MPHL is a co-ed competitive recreational sports league for teens and adults. The teams are managed by player-captains, no licensed coaches are involved. Playing time in each game is not guaranteed. Protective equipment (such as pads/helmet/eye protection) is optional and is the responsibility of each player.