Enter the name of the player's parent below. If you are an adult player registering then enter your own name here and in the Player's Name fields below that.
 

Parent's First Name: 

Parent's Last Name: 

Enter the name of the player in the fields below.
 

Player's First Name: 

Player's Last Name: 

You must choose a user name and password that you will use to login to your account through this web site in the future. When you have logged in you can see your currently scheduled sessions as well as enroll for future sessions.
 

Login User Name: 

Login Password: 

Enter the following information about the player.
 

Date of Birth: 

January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Most Recent Team*: 

Second Most Recent Team*: 

* Please be specific, including level (Bantam A, PeeWee B1 etc.)
 

Age Group / Level: 

Bantam Bantam Goalie College College Goalie Pee Wee Pee wee Goalie Varsity Varsity Goalie Wily Vet Wily Vet Goalie

Righty / Lefty: 

Left Handed Right Handed

Address: 

City: 

State: 

Zip: 

Please make sure you enter a valid phone number and e-mail address since we use these methods to contact you regarding your account.
 

Phone: 

Alternate Phone: 

Email: 

Where did you 
hear about IHP? 

Make sure you have filled out all of the fields on this form. Only the Alternate Phone field is not required. Once all fields are filled out, click the "Send Application" button below.