Information

Team Registration - EMHL - Winter 2025-26

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Coach/Manager First Name:*

Coach/Manager Last Name:*

Phone:*

Additional Phone:

Date of Birth:*

Email:*

Address:*

Address 2:

City:*

State:

Zip / Postal Code:*

Team Name:*

What is the teams primary jersey color ?:*

What is the teams secondary jersey color? :*

Prefered day of week to play - 1st Choice:*

Prefered day of week to play - 2nd Choice:*

Prefered day of week NOT to play - 1st Choice:*

Prefered day of week NOT to play - 2nd Choice:*

What is the teams level of play?:

2nd Point of Contact (Coach/Manager) First Name:

2nd Point of Contact (Coach/Manager) Last Name:

2nd Point of Contact (Coach/Manager) Email Address:

2nd Point of Contact (Coach/Manager) Phone Number:

Deposit for $500 - Venmo as a Friend NOT Goods & Services: