Please provide the folowing information as a first step in the registration process. By submitting this form you are temporarily holding a spot in the desired program, but your position will not be guaranteed until payment is made. After completing this form please provide payment by calling or stopping in at Power Play.
First Name:
Last Name:
Registered By: ie. Parent Name
Street:
City: State: Zip Code:
Phone:
Email:
Date of Birth:
2009-2010 Team:
Select Program:
Comments:
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Our Teams
Exton Kings
League: DVHL
Level: Squirt, Pee Wee, Bantam, Midget
Kings Website
Exton Dyna-Mites
League: Independent
Level: Mites
Dyna-Mites Website
Bulls Hockey
League: Independent
Level: Squirt
Bulls Website
Berks Blue Lions
League: Independent
Level: Limited Travel
Blue Lions Website
Club SCW
Figure Skating Club
Club SCW Website