Valley Youth Hockey Association

Roanoke, Virginia 
VYHA Registration
To register for the 2010-2011 hockey season, please complete ALL of the following steps and bring all paperwork to the first practice:
You may mail completed forms and checks made payable to VYHA to:

VYHA Registration
c/o Melissa Roberts
1150 Drewrys Hill Road
Vinton, VA 24179
STEP 1  Bring copy of player's Birth Certificate

STEP 2  Register with USA Hockey (players and coaches).  Print Confirmation page.

STEP 3  Print and Complete ALL Forms below:

STEP 4  VYHA Registration
Complete the form at the bottom of the page.
Pay league dues. (You may pay dues online or bring a check made payable to VYHA to the first practice.  Register before October 16, 2010 and your cost will be $450 per player.)

*It is important to note that players will not be allowed on the ice without ALL 4 steps completed.  Forms must be received by the team manager or league registrar prior to the player stepping onto the ice.

VYHA Registration
Player First Name:
Player Last Name:
Date of Birth:
Parent/Guardian First Name:
Parent/Guardian Last Name:
Address:
City:
State:
Zip Code:
Phone Number:
League:
Age Group:

Valley Youth Hockey Association
PO Box 20362
Roanoke, VA 24018
(540) 890-4659
Copyright . Valley Youth Hockey Association. All rights reserved. Webmaster: Lindsey Kitts.