You can either fill out our online registration or click here to print it out and mail it in.

	FULL NAME (FIRST/MIDDLE INITIAL/LAST): E-MAIL: (required) ADDRESS: CITY: STATE/PROV: ZIP/POSTAL: HOME PHONE: CELL PHONE: DATE OF BIRTH: FATHER'S NAME: *FATHER'S OCCUPATION: MOTHER'S NAME: *MOTHER'S OCCUPATION: HIGH SCHOOL: CURRENT TEAM: POSITION: SHOT: GLOVE (GOALIES): HEIGHT: WEIGHT:       PAYMENT OPTIONS: Payment in Full (Secure Online Payment) Check / Money Order Please mail check or money orders to: USCHA c/o Mark Dennehy 211 Lowell St. Andover, MA 01810   The cost of the Amherst camp is $375 (U.S.).   *Optional Fields