SIGN UP PAGE – HEADS UP HOCKEY

Heads Up Hockey Camp/Clinic Sign Up Form
(scroll to bottom of page to view flyers)

Player Name *

back) so, What

Birth Year *

Which HUH program/event are you signing up for? *

2012 BOYS SUMMER CONDITIONING (7/1/25-8/19/25 TUES & THURS 9-11AM @ MASS BAY, PEABODY) - $750
2016 GIRLS SUMMER CONDITIONING (7/1/25-8/19/25 TUES & THURS 11AM-1PM @ MASS BAY, PEABODY) - $950
2017-2015 CO-ED SUMMER CONDITIONING (7/1/25-8/19/25 TUES & THURS 2-4PM @ ACM, GLOUCESTER) - $950
5/4/25 Powerskating & Edgework Clinic - 2:30pm @ Talbot Rink, Gloucester, MA - $90

What team do you play for? *

Ex. Cape Ann Squirt 2 / Islanders Platinum EHF

Manager Name *

Most times a parent, sometimes a grandma or aunt, etc...

Manager Email *

This person will be sent a waiver to sign (DocuSign)

Manager Phone Number *

Payment Method *

Would you like to purchase a custom Heads Up Hockey jersey for $70? If so, select a size