Cornerstone Community Center
2008-2009 Hockey Initiation REGISTRATION FORM
LEARN TO SKATE
Program teaches recreational and/or hockey skating to ages 4 to adult and is a great way to
improve your skating skills. It can ready you to play hockey, figure skate or speed skate.
$68 each 8 week session, sessions run all year round. Sessions begin September 16th 6pm or 6:40pm classes.
Learn to Play Hockey
Also known as the Hockey Initiation Program (HIP) is for boys and girls of all ages and is designed for
beginning hockey players who want to learn the basics of the game. The players should
know skating basics. We will continue to focus on improving skating skills each session,
teach stick-handling, positioning, and have cross-ice scrimmage games as the season
progresses, depending on skill improvement. Our goal at the HIP level is to have taught
hockey skills and improve skating so that in the player’s second year of skating they
may progress to the De Pere or Green Bay Mite Hockey programs. This is great place to get started.
If you have a older child wishing to start hockey we will place them here and move them into the age and skill appropriate recreation level at the appropriate time .
Mandatory Equipment for Hockey Programs:
ü Helmet
ü Breezers (hockey pants)
ü Gloves
ü Elbow & Shin Pads
ü Skates
ü Stick
Equipment Rental
Green Bay District Skaters The rink has 30 sets of equipment on a first come first served basis. Call Don Chilson at 403-2000.
Equipment rental includes helmet, shin pads, elbow pads. Additional equipment needed includes skates, gloves and breezers (pants).
DePere District Skaters The DePere Youth Hockey Association has equipment (excluding skates) for you.
Visit www.depereyouthhockey.org <http://www.depereyouthhockey.org/ for distribution dates and details.
SKATER’S NAME:_________________________________________________________________
PARENT/GUARDIAN’S NAME:______________________________________________________
STREET:___________________________CITY/STATE/ZIP:______________________________
TELEPHONE:_____________________EMAIL ADDRESS:_______________________________
(Attending)
SKATER’S Date Of Birth:___________________ SCHOOL DISTRICT:_____________________
PARENT’S PLACE OF WORK:______________________________________________________
RESIDENT OF: Ashwaubenon Green Bay Little Suamico Suamico Pulaski Howard Allouez Hobart DePere Bellevue Ledgeview Lawrence Other___________________ (please circle)
Check one of the categories listed below to register your skater.
Full Sessions begins November 2 and concludes March 1, 2009, Partial Session January 4 to March 1, 2009
Price if paid IN FULL by: 10/15/08 Date of Birth
_____Hockey Initiation Sundays 5pm $ 80.00 Any age skater
_____Hockey Initiation Wednesday 5pm $ 80.00 Any age skater
_____Hockey Initiation Sunday and Wednesday $ 160.00 Any age skater
_____Learn To Skate September 16h 6pm or 6:50pm (circle one) $ 68.00 Any age skater
Make Checks Payable to: Cornerstone Community Center
1640 Fernando Dr.
Depere, WI 54313
Signature of parent/guardian:____________________________________________________________
There will be a $25 charge for all checks returned due to insufficient funds!!
If you have questions please call us at 920-403-2000 or check out our website www.cornerstoneicecenter.org click on Learn to Play Hockey
Instructions for On-line Registration with USA Hockey
It is mandatory that all players and coaches register on-line with USA Hockey. Players should attache their printed registration form to thier registration form and mail it to 1640 Fernando Dr. Depere, WI 54115. See below for instructions on registering with USA Hockey When Registering, 6 and Under are free, 7 and up are $40, This includes the insurance program and USA Hockey Magazine for your player.
The on-line registration process is simple and should take you no longer than 5 minutes to complete.
1. Go to www.USAhockey.com
2. Click on the quick link in the red box that says “Become a USA Hockey member”
3. Simply follow all of the prompts to register. Make sure to use the full legal name (no nicknames or shortened version of the name)
4. You will need a credit card to make payment of $40 ( $30 USA Hockey $10 WAHA fees)
5. At the end of the on-line registration process it will ask you to open confirmation and print. This is the page you will need to send in with your registration!!
If you are unable to attend one of the open registration nights, it is your responsibility to register on line and make sure your form is received with registration.
