Everett Youth Hockey Booster Club

Membership Application

Enter Family Information
Primary Name: *		EYH Player	Beginner Player	Player Birth Year:
Address: *
City: *
State: *
Zip: *
Phone: *
Email: *
	I'm interested in volunteering for EYHBC
	I agree to the Parent, Guardian and/or Member waiver click to read waiver (Will open in a new window)
Additional Family Members: (included in membership)
*** Please enter both the FIRST and LAST name of each member listed below.
Name:		EYH Player	Beginner Player	Player Birth Year:
Second Email: *
Second email required for this registration. Each Family membership receives two votes when voting for the Board of Trustees each year and these votes are controlled by email address validation. In order to obtain the correct voting privileges please enter a second email address.
Name:		EYH Player	Beginner Player	Player Birth Year:
Name:		EYH Player	Beginner Player	Player Birth Year:
Additional Family Members: ($15 per additional member)
Name:		EYH Player	Beginner Player	Player Birth Year:
Name:		EYH Player	Beginner Player	Player Birth Year:
Name:		EYH Player	Beginner Player	Player Birth Year:
Name:		EYH Player	Beginner Player	Player Birth Year:
Name:		EYH Player	Beginner Player	Player Birth Year:
Name:		EYH Player	Beginner Player	Player Birth Year:
Membership Total:	50.00